A4543, Supplies for transcutaneous electrical nerve stimulator, for nerves in the
HCPCS/CPT
Prior Authorization
No Prior Auth Required
No active coverage policies found for this code (low confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- Claims may require medical records documentation to assess whether the member meets the clinical criteria for coverage; however, documentation does not guarantee coverage.
- Medical Records Documentation Used for Reviews
Key Coverage Criteria
- Transcutaneous electrical nerve stimulator (TENS) is proven and medically necessary in certain circumstances.
- Transcutaneous electrical nerve stimulator (TENS) is proven and medically necessary in certain circumstances.
9 Active Policies
ANTHEM-DME.00011, DME.00011 Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous Devices
UHC-POL-electrical-stimulation-treatment-pain-muscle-rehabilitation, Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation
BCBSIL-SUR702.019, Cranial Electrotherapy Stimulation and Auricular Electrostimulation
BCBSMT-SUR702.019, Cranial Electrotherapy Stimulation and Auricular Electrostimulation
Related Codes
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