Vagus Nerve Stimulation (VNS) (NCD 160.18) Deep Brain Stimulation for Essential Tremor and Parkinson’s Disease (NCD 160.24) Hypoglossal Nerve Stimulation for the Treatment Of
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200 - Billing Requirements for Vagus Nerve Stimulation (VNS) 200.1 General 200.2 ICD-9 Diagnosis Codes for Vagus Nerve Stimulation (Covered since DOS on and after July 1, 1999) 200.3 Carrier/MAC Billing Requirements 200.4 Fiscal Intermediary Billing Requirements 200.5 Medicare Summary Notice (MSN), Remittance Advice Remark Code (RARC) and Claims …
separately in addition to code for primary procedure) 0312T Vagus nerve blocking therapy (morbid obesity); laparoscopic implantation of neurostimulator electrode array, anterior and posterior vagal trunks adjacent to esophagogastric junction (EGJ), with implantation of pulse generator, includes programming
Feb 15, 2019 · This is National Coverage Determination 160.18, Vagus Nerve Stimulation. (CR11461)
Breakdown of electrode (lead) for vagal nerve neurostimulators. ICD-10-CM Diagnosis Code T84.320A [convert to ICD-9-CM] Displacement of electronic bone stimulator, initial encounter. Displacement of electronic bone stimulator, init encntr; Electronic bone stimulator malposition. ICD-10-CM Diagnosis Code T84.320A.
ICD-10: | Z96.82 |
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Short Description: | Presence of neurostimulator |
Long Description: | Presence of neurostimulator |
Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.
04/1999 - Provided that procedure is safe and effective for patients with medically refractory partial onset seizures for whom surgery is not recommended or has failed. Effective date 07/01/1999. (TN 114) (CR 470)
This NCD has been or is currently being reviewed under the National Coverage Determination process. The following are existing associations with NCAs, from the National Coverage Analyses database.
Patients implanted with a VNS device for TRD may receive a VNS device replacement if it is required due to the end of battery life, or any other device-related malfunction.
All other indications of VNS for the treatment of depression are nationally non-covered.
The Medicare Advantage Policy Guideline documents are generally used to support UnitedHealthcare Medicare Advantage claims processing activities and facilitate providers’ submission of accurate claims for the specified services. The document can be used as a guide to help determine applicable:
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Title XVIII of the Social Security Act, §1833 (e). Prohibits Medicare payment for any claim lacking the necessary documentation to process the claim.
The following billing and coding guidance is to be used with its associated Local Coverage Determination.
Group 1 codes do not apply to CPT ® code 64585 for the purposes of this policy.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.