The original generator moves to another pocket

Device concern

Fictional adult with a spinal neurostimulator has a physician-documented problem with the current generator pocket. The planned work is relocation of the generator. The record identifies the existing device and does not describe replacement of the electrode array.

Operative sequence

The surgeon opens the original pocket, removes the existing generator temporarily and prepares a new pocket. The same generator is placed in the new pocket and connected as documented. The operative inventory confirms that no new generator or receiver is implanted.

Identity check

The device identifier before and after the operation is unchanged. The report’s words removal and insertion refer to handling and relocating the original device. They do not establish a replacement generator simply because the pocket location changes.

Charge review

The draft selects the new-generator replacement pathway and adds a removal line. Compare that proposal with NCCI’s distinction between revision or relocation and replacement. The learner must use the original device’s identity, the actual work and the current complete entry.

Your coding worksheet

1. Identify the device that remains after surgery.
2. Determine whether a new generator is documented.
3. Choose the relationship to investigate before exact coding.
4. Evaluate the proposed replacement and extra removal.

In your notebook, record the supported facts, your index route, the instructions you checked, and any missing detail that limits your answer.