US · guidance
CMS Pub. 100-04, ch. 32, § 200.6
Advance Beneficiary Notice and HINN Information
Physicians are liable for non-covered VNS procedures unless they issue an appropriate
advance beneficiary notice (ABN). The following language should be included in the ABN:
Items or Service Section:
“Vagas Nerve Stimulation”.
Because Section:
“As specified in section 160.18 of Pub.100-03, Medicare National Coverage Determination
Manual, Medicare will not pay for this procedure as it is not a reasonable and necessary
treatment for (select either “your type of seizure disorder” or “resistant depression.”)
Note that the ABN is the appropriate notice for Part B services and is valid whether the
language above is inserted or not.
History
(Rev. 1271, Issued: 06-22-07; Effective: 05-04-07; Implementation: 07-23-07)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
f5e3839c69c0f4bdefebf2ecc46d939e1ec2b5f7337d984b66f9ead825199171
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