CPT code 63655 describes a surgical spinal cord stimulation implantation that includes removal of part of the vertebral lamina and placement of a permanent plate or paddle electrode in the epidural space. This implant-based neuromodulation procedure is used to provide broader dorsal column coverage or to stabilize the electrode array and is an important option for managing refractory chronic pain and spasticity. Nationally, the code captures a specialized neurosurgical service with implications for facility resource use, device supply, and postoperative care pathways.

Key payers in the national landscape include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and typical settings of service, plus benchmarking and policy-focused content covering reimbursement considerations, utilization patterns, coding guidance, and payer authorization trends where available. The publication also summarizes common modifiers and coding permutations linked to procedural complexity and bilateral or staged approaches. Clinical context covers indications, surgical setting, and expected postoperative considerations to inform coding, billing, and administrative workflows for facilities and specialty practices.