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CPT 61885: Cranial Pulse Generator Implantation or Replacement
CPT code 61885 designates the surgical implantation or replacement of a cranial pulse generator or receiver placed in a subcutaneous pocket and connected to a single electrode array. This procedure is a core component of neuromodulation therapies used nationwide to manage movement disorders such as Parkinson’s disease, essential tremor, and select complications of multiple sclerosis. Implantation or replacement of pulse generators directly affects patient mobility, quality of life, and long-term device management strategies.
Key payers addressed in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a national overview of clinical context, typical sites of service, and the service type for CPT code 61885. The publication also presents payer coverage considerations and benchmarks where available, along with common billing modifiers and coding relationships where provided.
What readers will learn: the clinical purpose and procedural setting for CPT code 61885; which major payers commonly cover or adjudicate claims for cranial pulse generator implantation/replacement; and an outline of billing and coding elements associated with the service. Data not available in the input is noted where appropriate.
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Billing Code Overview
CPT code 61885 describes the surgical incision and implantation or replacement of a direct or inductive cranial pulse generator or receiver placed in a subcutaneous pocket for connection to one electrode array. The procedure is typically performed to treat movement disorders such as Parkinson’s disease, essential tremor, or symptoms related to multiple sclerosis.
Service Type: Surgical implant procedure
Typical Site of Service: Hospital operating room or ambulatory surgery center, with postoperative care in the hospital, outpatient clinic, or device clinic depending on inpatient stay and recovery needs.