Medicare will pay 80 percent of the costs as long as it’s deemed medically necessary. The Journal of Neurosurgery had found the average implantation costs ranged anywhere from $32,000 for Medicare patients to as much as $58,000 for Blue Cross Blue Shield customers, with annual fees reaching $5,000 to $21,3000.
Full Answer
How much does a spinal cord stimulator cost?
The science behind spinal cord stimulators is clear. While it is one of many treatments available for chronic pain, it is one that is supposed by the medical community and thus covered by most common forms of Medicare to those that qualify. For more information about your specific insurance plan, contact Physician Partners of America, today.
Are spinal cord stimulators covered by Medicare?
The Boston Scientific Spinal Cord Stimulator Systems are indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs including unilateral or bilateral pain associated with the following: failed ... Medicare National Coverage Determination (NCD) for Electrical Nerve Stimulators (160.7) Publication Number 100-3 ...
What is spinal cord stimulation (SCS)?
Aug 09, 2018 · How much does a spinal cord stimulator cost? On average, the total out-of-pocket costs, without any health insurance, can be anywhere from $30,000 to more than $50,000. While it is typically covered by health insurance providers, it will only be covered for specific conditions.
Who should use a spinal cord stimulator?
Spinal Cord Stimulator (SCS) Systems; WATCHMAN™ Implant; About Your Device ... hospital outpatient and ASC CPT-codes and Medicare national average payment rates. ... Health economic and reimbursement information provided by Boston Scientific Corporation is gathered from third-party sources and is subject to change without notice as a result ...
How much does a Boston Scientific spinal cord stimulator cost?
Can you qualify for disability with a spinal cord stimulator?
What is the annual cost for maintenance and upkeep of my spine stimulator?
What company makes the best spinal cord stimulator?
Can you go in a hot tub with a spinal cord stimulator?
What can you not do with a spinal cord stimulator?
Are spinal cord stimulators covered by insurance?
Can spinal cord stimulator cause weight loss?
How much does it cost to have a pain pump installed?
Can you have an MRI with a Boston Scientific spinal cord stimulator?
What is the success rate of a spinal cord stimulator?
How many different kinds of spinal cord stimulators are there?
How long does it take for a spinal cord stimulator to work?
During this period, which can take up to 10 days, your doctor will see if the trial stimulator helps reduce your back or leg pain ...
What is spinal cord stimulation?
A spinal cord stimulator, also referred to as neurostimulation, will use a low-voltage electrical current, emitted by a small generator implanted in the back, to help block the feelings of pain.
What happens after a syringe surgery?
After the surgery, medication will be prescribed for a short period to help you recover. Since this type of treatment is only offered at a limited number of hospitals throughout the United States, you may find yourself traveling to a hospital and incurring lodging and travel related expenses.
How much does spinal cord stimulation cost?
Typical costs: For uninsured patients, typical out-of-pocket costs for spinal cord stimulation are $15,000 - $50,000 or more. According to a study [ 3] funded by the Washington State Department ...
Where is the stimulator implanted?
The stimulator is typically implanted under the skin of the abdomen or near the buttocks. Most patients go home the same day they receive their permanent implant. Before being released, the patient will receive instructions on caring for the incision area and using the SCS device.
What is spinal cord stimulation?
For over 30 years now, doctors have used spinal cord stimulation (SCS), also called neurostimulation, to help relieve chronic neuropathic (nerve) pain. A stimulator is implanted into the patient’s body, which then sends out impulses to interrupt the pain signals and prevent them from reaching the brain. The treatment doesn’t eliminate pain.
How long does a rechargeable battery last?
Some companies manufacturing these devices are already promising a battery life of 10 to 25 years.
General Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
CMS National Coverage Policy
Title XVIII of the Social Security Act, §1833 (e). Prohibits Medicare payment for any claim lacking the necessary documentation to process the claim.
Article Guidance
The following billing and coding guidance is to be used with its associated Local Coverage Determination.
Bill Type Codes
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Revenue Codes
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
Document Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
CMS National Coverage Policy
Title XVIII of the Social Security Act (SSA), §1862 (a) (1) (A), states that no Medicare payment shall be made for items or services that “are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.”#N#CMS Manual System, Pub 100-03, Medicare National Coverage Determinations Manual, Chapter 1, §160.7, Electrical Nerve Stimulators..
Coverage Guidance
The implantation of spinal cord stimulators (SCS) may be covered as therapies for the relief of chronic intractable pain. SCS is best suited for neuropathic pain but may have some limited value in other types of nociceptive severe, intractable pain.