tci Part B Insider - 2004 Issue 1

Incontinence: How to Bill for Sacral Nerve Stimulation

Sacral stimulation needs different codes than spinal neurostimulationSacral nerve stimulation is very similar to spinal neurostimulator implantation, except that the former is to control incontinence and the latter is to manage pain. But the coding for these devices is somewhat different. According to coder Donna Cardarelli with Urology Associates of Essex North in Haverhill, Mass., sacral nerve stimulation has the following three stages:  Stage one: A minimally invasive test stimulation. It can last up to several days, letting patients try out the neurostimulator and see whether it helps control incontinent episodes. They keep a diary of their...

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