LCD Reference Article Response To Comments Article

Response to Comments: Peripheral Nerve Stimulation

A56042

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Draft Article
Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

Document Note

This Response to Comments article is being republished with a new Effective Date because the 45 days' notice of the original Final LCD effective date did not get published in a timely manner. The new effective date is 11/02/2018.

Note History

Contractor Information

Article Information

General Information

Source Article ID
N/A
Article ID
A56042
Original ICD-9 Article ID
Not Applicable
Article Title
Response to Comments: Peripheral Nerve Stimulation
Article Type
Response to Comments
Original Effective Date
08/27/2018
Revision Effective Date
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Revision Ending Date
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Retirement Date
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CMS National Coverage Policy

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Article Guidance

Article Text

The Comment Period for the Peripheral Nerve Stimulation LCD L37360 began 06/01/2017 and ended 08/14/2017. Comments were received from the provider community. The notice period starts 07/12/2018 and ends on 08/27/2018.

Response To Comments

Number Comment Response
1

A request was made to add the ICD 10 code for occipital neuralgia.

Although no literature was submitted, the Contractor recognized that possible coverage of this service for occipital neuralgia appeared in the "Indications" section of the policy. Therefore, the ICD 10 diagnosis for occipital neuralgia was added to the list of codes that may be considered medically necessary, provided all other criteria outlined in the policy are met.

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Coding Information

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ICD-10-CM Codes that Support Medical Necessity

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ICD-10-CM Codes that DO NOT Support Medical Necessity

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Coding Table Information

Excluded CPT/HCPCS Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Non-Excluded CPT/HCPCS Ended Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Revision History Information

Revision History Date Revision History Number Revision History Explanation
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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related Local Coverage Documents
LCDs
L37360 - Peripheral Nerve Stimulation
Related National Coverage Documents
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SAD Process URL 1
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SAD Process URL 2
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Statutory Requirements URLs
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Rules and Regulations URLs
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CMS Manual Explanations URLs
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Other URLs
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Public Versions
Updated On Effective Dates Status
06/25/2018 08/27/2018 - N/A Currently in Effect You are here

Keywords

  • occipital
  • neuralgia
  • ICD-10