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Updates to Rates for Vagus Nerve Stimulation

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:

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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