Billing and Coding: Auricular Peripheral Nerve Stimulation (Electro-Acupuncture Device)

Auricular peripheral nerve stimulation devices used to stimulate auricular acupuncture points (e.g., NeuroStim/NSS P‑Stim, ANSiStim, E‑Pulse, NSS‑2 Bridge) are non‑covered by Medicare and should not be billed with CPT 64555. When billing, use CPT 64999 (unlisted procedure, nervous system), report the device name, and apply the appropriate modifier and NCD 30.3 guidance for non‑covered acupuncture services.