tci Part B Insider - 2004 Issue 1

Neurostimulator Coding: Neurostimulator Trial, but No Error

Treat the trial and final implantation as staged proceduresA patient comes in with chronic intractable pain, and the physician has tried other treatment methods, including drugs. What do you do? These days, Medicare covers spinal neurostimulator implantation for last-ditch pain relief. But the Part B carriers require you to test the leads on the patient to see if they reduce the pain, before doing a final implantation. Many coders aren't sure how to bill for the test and final implantation without falling afoul of a 90-day global period. The best approach is to treat the test and...

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