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Transcutaneous Electrical Nerve Stimulators (TENS)

The Standard Written Order (SWO) requirements are in effect for dates of service January 1, 2020 and after.
Refer to the SWO page for the elements needed in this streamlined order.

Coverage

Documentation

Reviews/Audits

  • Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review

Tips

Topic Details
A9270 - Non-covered item or service
  • The Food and Drug Administration (FDA) has several product classifications for Transcutaneous Electrical Nerve Stimulators (TENS) devices, one of which is designated for TENS devices that may be sold over-the-counter (OTC). OTC TENS are identified with FDA product code NUH. OTC TENS are not considered durable medical equipment (DME). OTC TENS must be coded using HCPCS code: A9270 - Non-covered item or service
KG Modifier
  • Modifier must be billed with all TENS supplies (A4595 and A4557) for dates of service on/after January 1, 2018. Does not apply to supplies used with Neuromuscular Electrical Stimulation (NMES)

 

Resources

 

Last Updated Fri, 24 Apr 2020 21:17:46 +0000