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

Cigna covers a few limited in‑home electrical stimulation uses—unattended electrical stimulation (G0281) for chronic Stage III/IV pressure injuries, arterial, diabetic neuropathic, or venous stasis ulcers; NMES (E0745) for disuse atrophy as part of a comprehensive rehab program with intact nerve supply; TENS (E0720/E0730) as an in‑home adjunct for postoperative pain within 30 days; and conductive garments (E0731) only when conventional electrodes are infeasible—while excluding most other in‑home stimulation modalities/devices and non‑covered indications (many listed as experimental/unproven). Key requirements: document the specific diagnosis, failure of a 30‑day trial of conventional wound care and direct medical supervision for G0281, documentation of a comprehensive rehab program and intact nerve for NMES, postoperative timing within 30 days for TENS, use correct HCPCS/ICD codes, and verify DME coverage per the member’s plan.

"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..."