Medicare AdvantageCoverageMedium impact
Spinal Cord Stimulators - Medicare Advantage (Revised)
Humana·Pain Management, Neurosurgery, Neurology +1 more·Medicare Advantage
Effective date
May 12, 2026
We identified it
Jun 24, 2026
Summary
This is a revised Medicare Advantage policy for spinal cord stimulators effective May 12, 2026. The policy provides comprehensive coverage guidance for various SCS devices and systems used to treat chronic pain conditions like failed back surgery syndrome and complex regional pain syndrome.
Action Required
Before May 12, 2026: Review current spinal cord stimulator billing practices against updated Medicare Advantage coverage policy HUM-1215-008. Ensure documentation aligns with coverage determination requirements for SCS procedures. Verify applicable MAC LCD requirements for your geographic jurisdiction (refer to L35136, L37632, and A57791, A56876 local coverage articles).