US · guidance

CMS Pub. 100-04, ch. 32, § 40.2.1

Healthcare Common Procedural Coding System (HCPCS)

activein force · 2026-08-25 – presentas-observed

64561 - Percutaneous implantation of neurostimulator electrodes; sacral

nerve (transforaminal placement)

64581 - Incision for implantation of neurostimulator electrodes; sacral nerve

(transforaminal placement)

64585 - Revision or removal of peripheral neurostimulator electrodes

64590 - Incision and subcutaneous placement of peripheral

neurostimulator pulse generator or receiver, direct or inductive

coupling

64595 - Revision or removal of peripheral neurostimulator pulse generator

or receiver

A4290 - Sacral nerve stimulation test lead, each

C1767 - Generator, neurostimulator (implantable)

C1778 - Lead, neurostimulator (implantable)

C1820 - Generator, neurostimulator (implantable), with rechargeable

battery and charging system - effective 01/01/20 for NCD230.18 with

CR11655

C1883 - Adaptor/extension, pacing lead or neurostimulator lead

(implantable)

C1897 - Lead, neurostimulator test kit (implantable)

E0752 - Implantable neurostimulator electrodes, each

E0756 - Implantable neurostimulator pulse generator

NOTE: The "C" codes listed above are only applicable when billing under the hospital

outpatient prospective payment system (OPPS). They should be reported in place of codes

A4290, E0752 and E0756.

History

(Rev. 11789, Issued:01-19-23, Effective Date: 02-21-23, Implementation Date: 02-21-23)

Provenance

Source: cms.gov
Retrieved: 2026-08-25
Edition: iom-2026-08-25
Content hash: 5bc40c10e598e413075a6335e526ef1828036afa691987a20936396892cd8dda

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