Billing and Coding: Peripheral Nerve Stimulation

Noridian considers Peripheral Nerve Field Stimulation (PNFS/PSFS) not medically necessary and not covered for any condition. Providers submitting claims for PNFS/PSFS must bill CPT 64999 for trial and permanent electrode insertions, indicate trial vs permanent and the PNFS/PSFS descriptor in the claim narrative, report 1 unit of service per procedure, and follow specified Part A/Part B claim-field instructions; Class III (QLK) devices should be reported with CPT 64555 per lead, CPT 64590 for the IPG, and ICD-10-CM M62.85.

"Peripheral Nerve Field Stimulation (PNFS), also known as Peripheral Subcutaneous Field Stimulation (PSFS), is not covered for any condition due to insufficient peer-reviewed evidence."

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