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Code update for TENS and associated supplies

April 6, 2018

The ICD-10-CM guidelines for coding transcutaneous electrical nerve stimulators (TENS) and associated supplies have been updated to further clarify indications that are considered to be experimental/investigational. Therefore, Independence is updating our policies on TENS and associated supplies to reflect these coding changes.

The following policies are currently posted as Notifications and will go into effect May 7, 2018:

  • Commercial: #05.00.74c: Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies
  • Medicare Advantage: #MA05.006c: Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies

Code updates

The following ICD-10 codes have been added to Attachment A of the TENS policies as indications that are considered experimental/investigational when billed with HCPCS codes E0720 and E0730:

ICD-10 code

Code description

M26.621

Arthralgia of right temporomandibular joint

M26.622

Arthralgia of left temporomandibular joint

M26.623

Arthralgia of bilateral temporomandibular joint

M26.629

Arthralgia of temporomandibular joint, unspecified side

R10.10

Upper abdominal pain, unspecified visceral abdominal pain

R10.11

Right upper quadrant pain

R10.12

Left upper quadrant pain

R10.13

Epigastric pain

R10.2

Pelvic and perineal pain

R10.30

Lower abdominal pain, unspecified

R10.31

Right lower quadrant pain

R10.32

Left lower quadrant pain

R10.33

Periumbilical pain

For more information

To view the Notifications for these policies, including the updated code lists in Attachment A, visit our Medical Policy Portal and select Accept and Go to Medical Policy Online. Then select Commercial or Medicare Advantage under Active Notifications.


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