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A provider places the electrodes at or near trigger points (muscle knots) or affected nerves. Many healthcare providers offer TENS therapy in office or hospital settings. They can also give you a prescription for a TENS unit to use at home.
TENS machines can be bought without a prescription at pharmacies and on the internet. Ask your doctor to refer you to a physiotherapist, so you can try it out first. Your physiotherapist can show you how to use the machine properly and will get you to try TENS for a few hours a day until you get used to it.
Appropriate Coding For the TENS unit purchase or rental, use Healthcare Common Procedure Coding System code E0720 or E0730 with applicable modifiers. For additional supplies after the first month of use, use HCPCS code A4595.
Generally, the criteria for getting a TENS unit covered by insurance are the same. Here are the basics: TENS therapy must be deemed medically necessary and effective in treating the primary health issue in this case, pain.
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