Updates to Rates for Vagus Nerve Stimulation

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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.

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