Oct 01, 2021 · Z96.82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z96.82 became effective on October 1, 2021. This is the American ICD-10-CM version of Z96.82 - other international versions of ICD-10 Z96.82 may differ. Applicable To Presence of brain neurostimulator
DEEP BRAIN STIMULATION FOR ESSENTIAL TREMOR, PARKINSON'S DISEASE, EPILEPSY, DYSTONIA*, AND OCD* ICD-10-CM Diagnosis and Procedure Codes; HCPCS II Device Codes; Device C-Codes and Device Edits; CPT® Procedure Codes; MS-DRG Assignments; Codes and Payment for Percept™ PC, Activa™ SC, Activa™ RC, and Activa™ PC;
2020 Quick Reference Guide – Deep Brain Stimulation. Inpatient/Outpatient Hospital Reimbursement . CY 2020 Medicare Inpatient Prospective Payment System for Deep Brain Stimulation (DBS) Inpatient Procedure Codes. 1. ICD-10 PC. 1. Description
Apr 10, 2013 · ICD-10-PCS1 Procedure Codes continued Hospitals use ICD-10-PCS procedure codes for inpatient services. Lead Implantation2 00H00MZ Insertion of neurostimulator lead into brain, open approach 00H03MZ Insertion of neurostimulator lead into brain, percutaneous approach 0JH60BZ Insertion of single array stimulator generator into chest subcutaneous
ICD-10: | Z96.82 |
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Short Description: | Presence of neurostimulator |
Long Description: | Presence of neurostimulator |
To ensure that a patient meets the medically necessary policy criteria, or to find out if prior authorization/pre-determination is required, please contact the patient’s payer directly. Medtronic provides this information for your convenience only.
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Medicare provides C-codes, a type of HCPCS II code, for hospital use in billing Medicare for medical devices in the outpatient setting. Although other payers may also accept C-codes, regular HCPCS II device codes are generally used for billing non-Medicare payers. Unlike regular HCPCS II device codes, the extension is coded separately using C-codes.
Medicare’s procedure-to-device edits require that when certain CPT® procedure codes for device implantation are submitted on a hospital outpatient bill, HCPCS II codes for devices must also be billed. Effective January 2015, the edits are broadly defined and may include any HCPCS II device code with any CPT procedure code used in earlier versions of the edits.2 Within this context, the HCPCS II device codes shown below are both appropriate for the CPT procedure codes and will pass the edits.
05/2014 - CMS translated the information for this policy from ICD-9-CM/PCS to ICD-10-CM/PCS according to HIPAA standard medical data code set requirements and updated any necessary and related coding infrastructure. These updates do not expand, restrict, or alter existing coverage policy. Implementation date: 10/06/2014 Effective date: 10/1/2015. ( TN 1388 ) ( TN 1388 ) (CR 8691)
The DBS should be performed with extreme caution in patients with cardiac pacemakers or other electronically controlled implants, which may adversely affect or be affected by the DBS system.
The DBS is not reasonable and necessary and is not covered for ET or PD patients with any of the following:
Patients who undergo DBS implantation should not be exposed to diathermy (deep heat treatment including shortwave diathermy, microwave diathermy and ultrasound diathermy) or any type of MRI, which may adversely affect the DBS system or adversely affect the brain around the implanted electrodes.
Medicare will only consider DBS devices to be reasonable and necessary if they are Food and Drug Administration (FDA) approved devices for DBS or devices used in accordance with FDA approved protocols governing Category B Investigational Device Exemption (IDE) DBS clinical trials.