Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation (North Carolina Only)
North Carolina–specific UnitedHealthcare medical policy governing coverage and medical necessity criteria for transcutaneous, functional, neuromuscular, percutaneous, and other electrical stimulation technologies used to treat pain and for muscle rehabilitation; affects providers and patients covered under the payer in North Carolina.
Coverage rationale was revised and the list of unproven and not medically necessary indications was updated.
Percutaneous electrical nerve field stimulation (PENFS) was removed from the list of covered/recognized modalities.
HCPCS codes A4543, A4544, E0721, and E0743 were added to the policy's applicable codes.
Notation added that multiple CPT/HCPCS codes are not on the State of North Carolina Medicaid Fee Schedule and therefore may not be covered by NC Medicaid.
Description of Services, Clinical Evidence and FDA sections were updated to reflect current information.
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