CPT® Code 0786T

Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed

The procedure described by CPT® Code 0786T involves the insertion or replacement of a percutaneous electrode array specifically designed for sacral nerve stimulation. This device is equipped with an integrated neurostimulator, which allows for the delivery of low-level electrical impulses directly to the sacral nerves. The primary purpose of this procedure is to assist in the management of urinary or fecal incontinence, as well as to enhance bladder and bowel function in both children and adults. The sacral nerve plays a crucial role in the control of these functions, and neuromodulation through this technique can lead to significant symptom relief. Prior to the permanent placement of the device, a successful trial placement is typically conducted to assess the effectiveness of the stimulation. The procedure is performed with the patient in a prone position, ensuring that the lower back and upper buttock area is adequately prepped for the insertion. Imaging guidance, specifically fluoroscopy, is utilized to accurately locate the spinal midline and the sacral foramen, usually at the S3 level. This precision is essential for the correct placement of the electrode array, which is confirmed through neurostimulation responses. Overall, this procedure represents a minimally invasive approach to managing complex conditions related to bladder and bowel control.