Supplies Used in the Delivery of Transcutaneous Electrical Nerve Stimulation (TENS) and Neuromuscular Electrical Stimulation (NMES)

Coverage for form-fitting conductive garments is allowed only for FDA-approved garments prescribed by a physician for covered TENS or NMES when conventional electrodes are infeasible and one of specific medical indications is met (large/multiple sites, inaccessible sites for chronic intractable pain, documenting skin problems, stimulation beneath a cast for disuse atrophy or pain with intact nerve supply, or rehabilitation strengthening with a written plan). Garments are not covered during the TENS trial period unless a pre-trial skin problem is documented and Medicare Administrative Contractor medical consultants determine medical necessity; documentation of FDA approval, physician prescription, diagnoses, and, where applicable, a written rehabilitation plan and MAC consultant determination are required.

"Form-fitting conductive garment is covered only if the garment has received FDA marketing permission or approval."