Billing and Coding: Extracorporeal Shock Wave Therapy (ESWT)

This policy (A58367) provides billing and coding guidance for Extracorporeal Shock Wave Therapy (ESWT) and is intended to complement Local Coverage Determination L38775. It does not itself define clinical indications, limitations, documentation requirements, or frequency limits; those determinations should be made by consulting LCD L38775 and payer-specific rules.

"No clinical indications are specified in this billing/coding policy; refer to Local Coverage Determination L38775 for covered indications and medical necessity criteria for ESWT."

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