Good morning again (just posted a similar question on a different device) I was approached about an implantable device for pain control: The Morph Device (https://themorphdevice.com/) The billable codes theyre saying are 0720T and 64553. Now 64553 is payable by medicare (this device is not payable to podiatrists, but it is to NPs to which I employ). The 0720T code don't show in the Medicare fee schedule, neither code is linked to any LCD, but the rep provided EOBs showing payments. Which I know isnt guarantee of being a legitimate. I'd like to be buy the book if possible. While avoiding future clawbacks as well. 1-How does one look at the documentation or program requirements to properly document these codes? 2-Any other advice? Thank you! Luke
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After looking at the device and watching those videos, (and knowing of some colleague's experiences with something similar some years ago), here is my 0.02......a device attached to the ear through tiny needles the size of acupuncture needles would certainly not qualify as an implantable neurostimulator. CPT 64553 is defined as "Percutaneous IMPLANTATION of neurostimulator electrode array; cranial nerve". (my emphasis). In fact, when looking in the 2025 CPT Professional Edition coding book, under CPT 64553, it says, "For percutaneous electrical stimulation of a cranial nerve using needle[s] or needle electrode[s] [eg PENS, PNT], use CPT 64999 -- which is an unlisted code. When I researched CPT 0720T, it is a category III code, and is defined as "Percutaneous electrical nerve field stimulation, cranial nerves, WITHOUT implantation". This device has been around under various names for some time, and one particular company (not around any more) suggested billing only a HCPCS code, L8679, and not CPT 64553 (or CPT 64555). L8679 is defined as, "Implantable neurostimulator, pulse generator, any type". The reimbursement on L8679 was > $9,000. Needless to say, some docs got in big trouble with that. I would be extra cautious with this device.