Medicare WISeR service

Electrical Nerve Stimulators

WISeR currently focuses on permanent spinal-cord-stimulator implantation through laminectomy. Percutaneous implantation is outside this WISeR service.

Documentation overview

Documentation categories to review

These categories summarize the approved criteria bundle. The note checker uses the selected state, clinical pathway and procedure details to apply the relevant criteria.

Core documentation

  • Condition requiring the procedure with applicable physical examination findings
  • Stimulation used as a late resort with prior treatment failures
  • Multidisciplinary team evaluation
  • Pain reduction and functional improvement during trial stimulation
  • Why the patient is not a candidate for percutaneously placed leads

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Educational use only

This page summarizes public CMS documentation criteria. It does not provide medical, legal or coding advice, determine Medicare coverage, predict prior-authorization outcomes, or replace clinical judgment. Coverage decisions are made by CMS and its contractors. Verify the effective policy for the patient’s date and place of service before relying on this summary.