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Issue Number - Name
0092 - Percutaneous Implantation of Neurostimulator Electrode Array
Review Type
Complex
Claim Type
Professional Services (Physician/Non-Physician, Outpatient Hospital, Ambulatory Surgery Center)
Region and State
RAC 1-4
All States
Date Approved
2018-05-08

Description

Providers who submit and were paid for codes 64553 and/or 64555 must support in the documentation that the code billed was actually the service rendered and that all coverage criteria were met.

Affected Code(s)

  • HCPCS codes 64553, 64555

Applicable Policy References

  • Title XVIII of the Social Security Act, Section 1833 (e)
  • 42 Code of Federal Regulations, Section 411.15 (k) (1)
  • CMS Pub. 100-03, Medicare Claims Processing Manual, Section 160.7.1
  • CMS Pub. 100-03, Medicare Claims Processing Manual, Section 30.3