Must undergo appropriate psychological screening.Must undergo proper patient education, discussion, and disclosure including an extensive discussion of the risks and benefits of this therapy.Must not have active substance abuse issues. Documentation of the history and careful screening must be available in the patient chart if requested. (Such screening must include psychological, as well as physical evaluation). Patients must have undergone careful screening, evaluation and diagnosis by a multidisciplinary team prior to implantation. SCS therapy should be considered as a late option after more conservative attempts such as medications, physical therapy, psychological therapy or other modalities have been tried. Selection of patients for implantation of spinal cord stimulators is critical to success of this therapy. In situations where the spinal cord stimulator has been working well but is in need of replacement for battery change, malfunction or end of stimulator life, a new trial is not needed to replace the stimulator. Performance and documentation of an effective trial is a prerequisite for permanent nerve stimulation. Therapy consists of a short trial with a percutaneous implantation of neurostimulator electrode(s) in the epidural space for assessing a patient’s suitability for ongoing treatment with a permanent surgically implanted nerve stimulator. SCS is best suited for neuropathic pain but may have some limited value in other types of nociceptive severe, intractable pain. The implantation of spinal cord stimulators (SCS) may be covered as therapies for the relief of chronic intractable pain. Not endorsed by the AHA or any of its affiliates.Ĭoverage Indications, Limitations, and/or Medical Necessity Presented in the material do not necessarily represent the views of the AHA. Preparation of this material, or the analysis of information provided in the material. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness orĪccuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the Resale and/or to be used in any product or publication creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions Īnd/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is onlyĪuthorized with an express license from the American Hospital Association. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. AHA copyrighted materials including the UB‐04 codes andĭescriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may beĬopied without the express written consent of the AHA. All rights reserved.Ĭopyright © 2023, the American Hospital Association, Chicago, Illinois. The AMA assumes no liability for data contained or not contained herein.Ĭurrent Dental Terminology © 2023 American Dental Association. The AMA does not directly or indirectly practice medicine or dispense medical services. Applicable FARS/HHSARS apply.įee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not AMA CPT / ADA CDT / AHA NUBC Copyright StatementĬPT codes, descriptions and other data only are copyright 2023 American Medical Association.
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