![]() For people considering a procedure to implant this device, a very essential concern is spinal cord stimulator cost. Spinal cord stimulators work by sending a gentle current to the spinal cord, which basically works to distract the brain from interpreting pain signals. This is an implanted device consisting of a small power pack, similar to a pacemaker, and two small electrodes that attach to the area near the spinal cord. If you’ve been diagnosed with a spine condition as the source of your chronic back pain and conservative treatment options have been unable to provide lasting relief, a spinal cord stimulator may be able to help. Decompression with Interlaminar Stabilization®įactors that determine spinal cord stimulator costĬhronic back pain affects millions of people and is a leading cause of missed work, strained relationships and an inability to enjoy basic activities and hobbies.Cubital Tunnel Syndrome Ulnar Nerve Entrapment.At least as beneficial as an existing and available medically appropriate alternative.One that meets, but does not exceed, the patient’s medical need.Ordered and furnished by qualified personnel.Furnished in a setting appropriate to the patient’s medical needs and condition.Furnished in accordance with accepted standards of medical practice for the diagnosis or treatment of the patient’s condition or to improve the function of a malformed body member.Appropriate, including the duration and frequency that is considered appropriate for the service, in terms of whether it is:.Not experimental or investigational (exception: routine costs of qualifying clinical trial services with dates of service on or after September 19, 2000, which meet the requirements of the clinical trials NCD are considered reasonable and necessary).Contractors shall consider a service to be reasonable and necessary if the contractor determines that the service is: When appropriate, contractors shall describe the circumstances under which the proposed LCD for the service is considered reasonable and necessary under Section 1862(a)(1)(A). To treat intractable pain caused by incomplete spinal cord injury.Īs published in CMS IOM 100-08, Section 13.5.1, to be covered under Medicare, a service shall be reasonable and necessary.To treat intractable pain caused by cauda equina injury.To treat intractable pain caused by intercostal neuralgia that did not respond to medical management and nerve blocks.To treat intractable pain caused by plexopathy.To treat intractable pain caused by post-herpetic neuralgia.To treat intractable pain caused by end-stage peripheral vascular disease, when the patient cannot undergo revascularization or when revascularization has failed to relieve painful symptoms and the pain has not responded to medical management.To treat intractable pain caused by phantom limb syndrome that has not responded to medical management.To treat intractable pain caused by complex regional pain syndrome I & II.To treat intractable pain caused by nerve root injuries, post-surgical or post-traumatic including that of post-laminectomy syndrome (failed back syndrome).(Presence of arachnoiditis is usually documented by presence of high levels of proteins in the Cerebrospinal Fluid (CSF) and/or by myelography or Magnetic Resonance Imaging (MRI).) To treat chronic pain caused by lumbosacral arachnoiditis that has not responded to medical management including physical therapy.Dorsal column stimulators may be covered as therapies for the relief of chronic intractable pain under the following circumstances:
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