Article Detail - JE Part A
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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