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Click ‘Get Form’ to open the TENS Certification in the editor.
In Section A, select the appropriate certification type (Initial, Revised, or Recertification) and enter the relevant dates. Fill in the patient’s name, address, telephone number, and Medicare ID.
Provide your supplier information including name, address, telephone number, and NSC or NPI number. Specify the place of service and include any procedure codes for items ordered.
In Section B, indicate the estimated length of need in months and list diagnosis codes. Answer questions 1-6 regarding the patient's condition by checking 'Y' for Yes or 'N' for No.
Complete Section C with a narrative description of equipment and costs associated with each item ordered.
Finally, in Section D, have the physician sign and date to certify that all information is accurate and complete.

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Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (60 Votes)
2017	4.2 Satisfied (89 Votes)
2005	4.4 Satisfied (548 Votes)

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Is a TENS unit FDA approved?

Or you can purchase an over-the-counter (OTC) TENS unit at your local pharmacy without a prescription. Regardless of the type of TENS unit you choose, its a good idea to talk to your healthcare provider first. Many of these units have FDA approval, but its important to choose the right device for your needs.

What are the downsides of a TENS unit?

TENS is generally seen as safe. But it has risks just like any treatment. If the electrical current is too high or the electrodes are put on the wrong part of the body, this can burn or irritate the skin. Areas to avoid include the brain, heart, eyes, genitals, and throat.

Can a doctor write a prescription for a TENS unit?

If you undergo surgery, a doctor might prescribe a TENS unit to use with other pain management strategies. If a doctor prescribes a TENS unit for postoperative pain, Medicare will cover the rental of a TENS unit for 1 month, starting on the day of your surgery.

Is TENS safe during pregnancy?

TENS therapy is considered safe in all three trimesters of pregnancy with no differences in maternal or neonatal outcomes (Keskin et al., 2012; Shah et al., 2015).

Are TENS units FDA approved?

Regardless of the type of TENS unit you choose, its a good idea to talk to your healthcare provider first. Many of these units have FDA approval, but its important to choose the right device for your needs. Your provider can also give you guidance on how and where to apply the electrodes.