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ATTENTION:

SCDHHS recently mailed the 2024 IRS 1099-MISC form to eligible Medicaid-enrolled providers that meet IRS-defined thresholds. Reprint requests will be accepted starting Feb. 24. Providers can request a reprint or submit an inquiry online or by calling the Provider Service Center at (888) 289-0709.

Updates to Rates for Vagus Nerve Stimulation

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:

DescriptionCodeCurrent RateNew Rate
Incision to implant or replace direct or inductive cranial pulse generator or receiver61885$16,173$34,000
Open approach to implant cranial nerve neurostimulator electrode array64568$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.

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