Breakdown of implnt elec nstim of spinal cord lead, init

This code signifies a mechanical failure of the electrode (lead) component of an implanted spinal cord neurostimulator. This breakdown could involve a fracture, dislodgement, or other physical damage to the lead itself, preventing proper electrical stimulation. The "initial encounter" designation indicates that this is the first time the patient is being seen for this specific complication.

Use this code when a patient presents with symptoms related to a malfunctioning spinal cord stimulator, and diagnostic imaging or intraoperative findings confirm a mechanical issue with the implanted lead. This applies to situations such as lead migration, fracture, or insulation breach identified during the initial assessment and management of the complication.

• Ensure documentation clearly specifies a mechanical breakdown of the electrode/lead, not the pulse generator.
• Verify "initial encounter" is appropriate; subsequent encounters for the same issue would use a different seventh character.
• Distinguish from electrical or software malfunctions, which would be coded differently.