GUIDEPOINT Reimbursement Resources: Coding and Payment Guide for Medicare Reimbursement: Spinal Cord Stimulation (SCS) Procedures

Coding and Payment Guide for Medicare Reimbursement

This guide provides information on the coding and payment for Spinal Cord Stimulation (SCS) procedures for Medicare reimbursement.

2017 Medicare Coding and National Payment Rates

The following table shows the 2017 Medicare coding and national payment rates for SCS procedures performed in the outpatient hospital setting.

Note: This information is subject to change without notice and is presented for illustrative purposes only.

Medicare Local Coverage Determinations (LCDs)

Medicare has established LCDs for Electrical Nerve Stimulators, including SCS. These LCDs specify the criteria for coverage, including national coverage determinations (NCDs) and local coverage determinations (LCDS).

Providers should consult with their local Medicare contractors to determine the specific coverage criteria for SCS procedures.

Manual:

Download: GUIDEPOINT Reimbursement Resources: Coding and Payment Guide for Medicare Reimbursement: Spinal Cord Stimulation (SCS) Procedures

Coding and Payment Guide for Medicare Reimbursement

2017 Medicare Coding and National Payment Rates

Medicare Local Coverage Determinations (LCDs)

Manual:

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