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CPT 0786T: Percutaneous Sacral Electrode Array Implant/Replacement
CPT code 0786T covers the percutaneous insertion or replacement of a sacral electrode array integrated with a neurostimulator system, often performed with imaging guidance. This procedure supports sacral neuromodulation therapies used to manage certain pelvic floor and lower urinary tract conditions and is an important procedural code for hospitals and ambulatory surgery centers that provide neuromodulation implant services. Nationally, the code matters because it captures device implantation and replacement events central to long-term neuromodulation care and device lifecycle billing.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn how 0786T is defined clinically, typical settings where the service is delivered, and which major payers commonly process claims for this service. The publication provides benchmarks and policy context relevant to coverage and billing for sacral neurostimulator implantation and replacement, as well as operational considerations for providers and billing teams. Data not available in the input is noted where applicable, and no state-specific guidance is provided so the content applies at a national level.
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Billing Code Overview
CPT code 0786T describes the percutaneous insertion or replacement of a sacral electrode array with an integrated neurostimulator system. The procedure may be performed with imaging guidance as part of device placement or revision.
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Service type: Percutaneous sacral neuromodulation device implantation or replacement
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Typical site of service: Ambulatory surgery center or hospital outpatient setting