Comment Letter

Neurosurgery Submits Comments to Novitas Regarding Neurostimulator LCD

  • Reimbursement and Practice Management

Leslie Stevens, MD
Novitas Solutions, Inc.
2020 Technology Parkway, Suite 100
Mechanicsburg, PA 17050

Via email to: ProposedLCDComments@Novitas-Solutions.com

Subject: Proposed Local Coverage Determination (LCD): Nerve Stimulators for Chronic Intractable Pain (DL 39404).

Dear Dr. Stevens:

The AANS and the CNS appreciate the opportunity to comment on the above referenced Novitas proposed local coverage determination (LCD) policy for spinal cord (SCS) and peripheral nerve stimulation (PNS) for pain (DL39404). These procedures are increasingly important for reducing pain, disability and opioid use among the Medicare population. The AANS and the CNS are keenly interested in these proposed policies, given their importance to our patients with chronic pain. However, we are concerned that these proposed policies have multiple issues that require correction as they may adversely affect patient care if implemented as they currently stand.

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