A4545 Insurance Policy Changes

HCPCS A4545 is officially defined as "Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month." HCPCS A4545 is referenced in 6 tracked payer policy changes from CareSource and Anthem BCBS. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS A4545 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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All billing codesJ35909921299213992029921199214

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