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Implanted Electrical Stimulator for Spinal Cord ...

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Impla nted Electr ica l Stimula tor for Spina l Cor d Page 1 of 4 UnitedHea lthca r e Commer cia l Medica l Policy Effective 11/01/2021 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services, Inc. UnitedHealthcare Commercial Med i ca l P ol i cy Implanted Electrical Stimulator for Spinal cord Policy Number: 2021T0567R Effective Date: Nov e mber 1, 2021 Instructions for Use Table of Contents Page Coverage Rationale ........................................ ................................... 1 Documentation 1 Applicable Codes ........................................ ...................................... 3 Food and Drug Administration.

Stimulator (SCS) Insertion. Click . here to view the InterQual ® criteria. Note: • Coverage of a replacement battery/generator for a previously impal nted electrical stimual tor is appropriate when the individual’s existing battery/generator is malfunctionni g, cannot be repaired, and is no longer under warranty.

  Electrical, Spinal, Cord, Implanted, Stimulator, Implanted electrical stimulator for spinal cord

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