CG-DME-04 Transcutaneous Electrical Nerve Stimulation

This policy addresses transcutaneous electrical nerve stimulation (TENS) devices, including TENS units and conductive TENS garments. Coverage is medically necessary when prescribed for pain that has not responded to other treatments, limited to musculoskeletal pain or pain from active or post‑trauma injury; TENS garments are covered when the TENS criteria are met. TENS is not medically necessary when these criteria are not met and for all other indications.

"TENS units are consideredmedically necessarywhen prescribed as a treatment for pain for those who have not responded to other modalities, in the following situations:"

Sign up to see full coverage criteria, indications, and limitations.