k8mbee

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A psych eval is required prior to an SCS Trial however, I can't seem to locate a policy (Medicare, Evicore, etc) that states a specific timeframe that this needs to be performed within/prior to surgery. Example: Patient has already had a psych eval for a previous procedure (>2 years), but wondering if this patient needs to have a more-recent evaluation. Thank you.
 
Hi there, the previous procedure - was it also an SCS trial?
The patient is actually having a PNS (Peripheral Nerve Stimulator) and previously had SCS, so same type but not the same procedure/codes. I just figured more billers could relate to billing guidelines for SCS vs PNS, and it very well could be applicable in the future with SCS patients.
 
The patient is actually having a PNS (Peripheral Nerve Stimulator) and previously had SCS, so same type but not the same procedure/codes. I just figured more billers could relate to billing guidelines for SCS vs PNS, and it very well could be applicable in the future with SCS patients.
Got it. I would not apply the evaluation for one procedure to another.
 
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