CSHCN Services Program 2010 > Neurostimulator Devices and Supplies > Benefits, Limitations, and Authorization Requirements

   
 

26.2.9 Revision or Removal of Implantable Neurostimulators (DCN, ICN, SNS, or VNS)

The revision or removal of implantable neurostimulators (DCN, ICN, SNS, or VNS) may be reimbursed as a surgery or assistant surgery using the following procedure codes:

Device
Procedure Codes

DCN

63661, 63662, 63663, 63664, or 63688

ICN

61880 or 61888*

SNS

64585 or 64595

VNS

61888*

*Not payable for assistant surgery.

Ambulatory surgical centers may be reimbursed using the procedure codes listed in the table above.

The revision or removal of a peripheral neurostimulator used in PENS therapy may be reimbursed using procedure code 64595.


Texas Medicaid & Healthcare Partnership
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