Review of neuromodulation codes impacted by Medicare fee schedule changes

The Advocacy and Policy Committee was recently made aware of several Medicare fee schedule changes that impact a series of Neuromodulation codes. 

Changes were enacted from 2020 to the 1st Quarter of 2021 for a series of commonly used neuromodulation and interventional pain management procedure CPT codes. These are for the Medicare rates for physician work and not the facility fee assigned by Medicare and paid to the ASC or Outpatient facility. Those rates are set in a different fee schedule and had an overall increase in payments for 2021, along with other changes.

Access a complete review of the codes that are impacted here.