Updates to Rates for Vagus Nerve Stimulation
MB#
22-026
Effective Nov. 1, 2022, the South Carolina Department of Health and Human Services (SCDHHS) increased reimbursement rates for vagus nerve stimulation.
Reimbursement for the below-listed codes were increased as follows:
| Description | Code | Current Rate | New Rate |
|---|---|---|---|
| Incision to implant or replace direct or inductive cranial pulse generator or receiver | 61885 | $16,173 | $34,000 |
| Open approach to implant cranial nerve neurostimulator electrode array | 64568 | $24,412 | $36,000 |
The updated rates are reflected in the Outpatient Hospital Fee Schedule.
Providers should direct any questions related to this bulletin to the Provider Service Center at (888) 289-0709. The Provider Service Center’s hours of operation are 7:30 a.m. – 5 p.m. Monday – Thursday and 8:30 a.m. – 5 p.m. Friday.