tci Part B Insider - 2003 Issue 11

REIMBURSEMENT: New Guidelines Mean Broader Application of Deep Brain Stimulation Codes

New guidelines from the Centers for Medicare & Medicaid Services have allowed for broader use of deep brain stimulation (DBS) for treatment of essential tremor (ET) and Parkinson's disease. When applying DBS, surgeons must be careful to report all portions of the service (including incision, placement and, in some cases, programming) while supplying an appropriate diagnosis and meeting other submission requirements.DBS refers to high-frequency electrical stimulation of anatomic regions deep within the brain using surgically implanted electrodes, says Jennifer Schmutz, CPC, of Neurosurgical Association in Indianapolis. The surgeon may place the electrodes on one (unilateral) or both (bilateral)...

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