Electrical Stimulation Therapy and Devices in a Home Setting - (0160)

Cigna covers in‑home electrical stimulation very narrowly: unattended electrical stimulation (G0281) only for chronic Stage III/IV pressure, arterial, diabetic or venous ulcers that fail to heal after a documented 30‑day trial of conventional care and when delivered under direct clinical supervision; NMES (E0745) for disuse atrophy with intact nerve supply; TENS (E0720/E0730) as an adjunct for in‑home post‑operative pain within 30 days of surgery; and conductive garments (E0731) only when conventional electrodes are infeasible — many other devices/modalities and off‑label uses are expressly excluded as experimental/unproven. Required documentation includes the 30‑day conventional care trial and failure, supervision by a wound‑care professional for G0281, evidence of intact nerve supply for NMES, surgery date and adjunctive use within 30 days for TENS, justification for conductive garments, and correct HCPCS/ICD‑10 coding.

"Electrical stimulation (HCPCS Code G0281) is considered medically necessary for the treatment of a chronic wound when ALL of the following criteria are met: Presence of ANY of the following chronic..."