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25.3.3.11 Deep Brain Stimulators
Implantation of neurostimulator electrodes for the treatment of intractable tremors, diagnosis code 3320, and 3331 are benefits. One of these diagnoses must appear on the claim for reimbursement to be considered. The actual deep brain stimulator device is a benefit only under the DRG or ASC/HASC reimbursement rate. No separate payment outside of the DRG or ASC/HASC reimbursement rate will be made for the device.
When billing for procedures related to the implantation of a deep brain stimulator, use the following codes. The types of service for which these codes are payable are listed with each code. TOS F should be used by the ASC/HASC.
Professional services for these codes are:
• Payable in the inpatient and outpatient settings.
•Subject to the global surgical fee policy, with three weeks precare and six weeks postcare days assigned.
•Subject to multiple surgery guidelines.
The following procedure codes for the electronic analysis of the implanted neurostimulator pulse generator are payable without prior authorization:
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