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Peripheral nerve stimulation trial - StimWave system

Clara Posted Tue 18th of June, 2019 10:39:14 AM
Can we bill CPT 64555 and Diagnosis codes: G57.21. G57.90, G57.02,M25.561, M54.32. M54.31, M96.1, M25.552, M54.16, M46.1,
SuperCoder Answered Wed 19th of June, 2019 09:08:56 AM


Thanks for your query. 

The ICD-10 codes mentioned does not include in the support list of state policy for CPT code 64555. The codes may be used if the medical necessity of the condition can be estabilished with the CPT code.

Hope this helps.


Clara Posted Wed 19th of June, 2019 13:12:14 PM
Can you please send me the link to the Florida State Policy for CPT code 64555. I cannot find it in or the Medicare website for the State of Florida. Thank you.
SuperCoder Answered Thu 20th of June, 2019 09:00:36 AM


There are no state policy for Florida on Medicare website for code 64555. Therefore, the codes can be used if medical necessity of the condition can be established with CPT code.


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