Tens certification 2026

1. Click ‘Get Form’ to open the TENS Certification in the editor.
2. 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.
3. 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.
4. 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.
5. Complete Section C with a narrative description of equipment and costs associated with each item ordered.
6. Finally, in Section D, have the physician sign and date to certify that all information is accurate and complete.

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