Medical Policy Revision: Vagus Nerve Stimulation

Effective December 10, 2019, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, Vagus Nerve Stimulation.

Access our Medical Policy Manual to review this medical policy content.

Based on the submitted diagnosis code(s), claims submitted for services provided on and after December 10, 2019 to patients enrolled in Horizon BCBSNJ commercial or Administrative Services Only (ASO) plans will be processed as follows.

• The services represented by CPT® codes 64553, 64568, 64569, 64570, 64590, 64595 may be denied as experimental/investigational, non-covered services.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been canceled or postponed, the changes will be applied to claims for dates of service on and after December 10, 2019.

CPT® is a registered mark of the American Medical Association.