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36.4.7.2 Deep Brain Stimulators
Implantation of neurostimulator electrodes for the treatment of intractable tremors, diagnosis codes 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 payable only under the DRG or ASC/HASC reimbursement rate. No separate payment outside of the DRG or ASC/HASC reimbursement rate is made for the device.
Procedure codes 2/8/F-61880, 2/F-61885, and 2/8/F-61888 are:
• Payable in the inpatient and outpatient settings.
•Subject to the global surgical fee policy, with three-day pre-care and six week post-care periods assigned.
•Subject to multiple surgery guidelines.
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