Introduction

This guide provides information on the 2024 Medicare coding and national payment rates for Spinal Cord Stimulation (SCS) procedures performed in an outpatient hospital setting.

Coding and Payment Rates

The guide includes comprehensive ambulatory payment classification (C-APC) codes and national average payment rates for SCS procedures, including lead and pulse generator placement, revision, and removal.

Neurostimulator Analysis and Programming

The guide explains the coding for neurostimulator analysis and programming, including simple and complex intraoperative or subsequent programming of neurostimulator pulse generators.

Medicare National Coverage Determinations

The guide outlines the Medicare National Coverage Determination (NCD) for electrical nerve stimulators, including criteria for coverage and indications for use.

Indications for Use

The Boston Scientific Spinal Cord Stimulator Systems are indicated for the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with various conditions.

Disclaimer

The guide provides a disclaimer regarding the health economic and reimbursement information, emphasizing that it is gathered from third-party sources and is subject to change without notice.

Manual:

Download: 2024 Quick Reference Guide Spinal Cord Stimulation Outpatient Hospital 2024 Coding and Payment Guide for Medicare Reimbursement

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