Transcutaneous Electrical Nerve Stimulators (TENS) - Policy Article

TENS devices (E0720, E0730, E0731) are covered under Medicare's DME benefit only when the reasonable and necessary criteria in the related LCD are met, including documented indications for acute post-operative or chronic pain and evidence of effectiveness after trial. Specified items subject to Final Rule 1713 require a face-to-face encounter and Written Order Prior to Delivery or claims will be denied; supplies are included in rental or purchase allowances (use A4595 for supplies) and certain supply/accessory codes are not payable separately. CMNs are not required for dates of service on/after 2023-01-01, and appropriate claim modifiers (KX/GA/GZ) must be used as specified or claims will be rejected.

"Transcutaneous electrical nerve stimulators (TENS: HCPCS E0720, E0730, E0731) are covered under the Durable Medical Equipment benefit when the beneficiary meets the reasonable and necessary (R&N) r..."