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Treatment of Motor Function Disorders with Electric Nerve Stimulation
While electric nerve stimulation has been employed to control chronic intractable pain for some time, its use in the treatment of motor function disorders, such as multiple sclerosis, is a recent innovation, and the medical effectiveness of such therapy has not been verified by scientifically controlled studies.
Where electric nerve stimulation is employed to treat motor function disorders, no reimbursement may be made for the stimulator or for the services related to its implantation since this treatment cannot be considered reasonable and necessary.
NOTE: For Medicare coverage of deep brain stimulation for essential tremor and Parkinson's disease, see §160.24 of the NCD Manual.
03/1997 - Reflected that instruction related to electrical nerve stimulation does not apply to deep brain stimulation provided by an implanted stimulator device and is subject to Medicare coverage at carrier's discretion. Effective date 04/15/1997. (TN 93)
02/2003 - Noted that Medicare coverage for deep brain stimulation for essential tremor and Parkenson's disease can be found at §160.24 of the NCD Manual. Effective and implementation dates 04/01/2003. (TN 167) (CR 2553)