REIMBURSEMENT CODING GASTRIC ELECTRICAL STIMULATION

INFORMATION ON CODING

To ensure that a patient meets the medically necessary policy criteria, or to find out if coverage prior authorization/pre-determination is required, please contact the patient’s payer directly. Medtronic provides this information for your convenience only. It is the responsibility of the provider to determine coverage and submit appropriate codes, modifiers, and charges for the services rendered. The information below provides assistance for FDA approved or cleared indications.

The coding includes information on the diagnosis and procedure codes applicable to all sites-of-service to be used when billing, along with Medicare National Average payment rates. For specific coding assistance with your facility, please contact your local Health Economics Manager.

The codes in the documents below are up to date through:
MPFS – 12/31
OPPS and ASC – 12/31
IPPS – 9/30