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Wiki SCS Psych Eval

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k8mbee

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Fort Worth, TX
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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.
 
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jkyles@decisionhealth.com said:
Hi there, the previous procedure - was it also an SCS trial?
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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.
 
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k8mbee said:
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.
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Got it. I would not apply the evaluation for one procedure to another.
 
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