Deep Brain and Cortical Stimulation – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare covers deep brain stimulation (DBS) for dystonia, essential tremor, Parkinson’s disease, and refractory partial/focal epilepsy, and responsive cortical stimulation (RNS) for refractory partial/focal seizures; DBS/cortical stimulation for OCD or other non‑listed indications and RNS for non‑seizure uses are unproven and not medically necessary. Coverage requires meeting InterQual clinical criteria and the member’s specific benefit plan terms (medical records may be required) and FDA approval alone does not guarantee coverage.

"Deep brain stimulation is proven and medically necessary for treating the following indications: Dystonia"

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