News & Press: Advocacy

Neurostimulator Codes - Values to be Reviewed

Wednesday, July 16, 2014  
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64553 (Percutaneous implantation of neurostimulator electrode array; cranial nerve)

64555 (Percutaneous implantation of neurostimulator electrode array; peripheral nerve [excludes sacral nerve]). In response to a stakeholder question regarding whether the above codes include proper non-facility practice expense, CMS stated that the codes have not been evaluated in quite some time and will be placed on a potentially misvalued code list for review by the RUC.

The International Spine Intervention Society will be involved in the review of values for both ESI and Neurostimulator codes at the RUC. The International Spine Intervention Society is the only interventional pain organization with consistent involvement: our volunteers and staff attend every meeting and work to assure the most optimal results in the valuation of spine intervention codes. This is extremely important due to the fact that when CMS refers codes to the RUC as potentially misvalued, they are most likely to have their values lowered.

For more information on the CMS' Proposed Payment Rule please visit: https://s3.amazonaws.com/public-inspection.federalregister.gov/2014-15948.pdf

 

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