Billing and Coding: Peripheral Nerve Stimulation (A55530) - R7 - Effective March 1, 2024

Date Posted: April 25, 2024

This coverage article has been revised and published for notice under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: March 1, 2024

Summary of Article Changes:

Added the diagnosis code M62.5A2 to Group 1 codes - Muscle wasting and atrophy, not elsewhere classified, back, lumbosacral.

Added language related to use of Restorative Neurostimulation Therapy and no requirement for a temporary trial or psychological evaluation.

Added language for use of Product Classification QLK with the ICD-10-CM code in the Additional ICD-10-CM section.

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Last Updated Apr 24 , 2024