AETNA – Changes in TENS Reimbursement Policy

 

January 28, 2014 – Effective March 1, 2014, Aetna will make changes to the Transcutaneous Electrical Nerve Stimulators (TENS) and supplies policy as follows:

 

The following codes will be denied when billed within 30 days of code A4595 - Electrical stimulator supplies, 2 lead, per month, (e.g. tens, nmes)

  • A4556 - Electrodes, (e.g., apnea monitor), per pair
  • A4557 - Lead wires, (e. g. , apnea monitor), per pair
  • A4558 - Conductive gel or paste, for use with electrical device (e. g. , tens, nmes), per oz
  • A4630 - Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient


 

TENS are considered experimental and investigational for chronic low back pain.  For more information, see Aetna’s Clinical Policy Bulletin 0011

 

Tags: Medical Billing

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