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Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · Gastroenterology, Pain ManagementHigh impact

Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel Syndrome

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Percutaneous electrical nerve field stimulation for abdominal pain in individuals with disorders of gut-brain interaction, including irritable bowel syndrome and functional dyspepsia, is considered investigational. The policy title changed from Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel Syndrome to Percutaneous Electrical Nerve Field Stimulation for Disorders of Gut-Brain Interaction, and the policy statement was updated to include disorders of gut-brain interaction and functional dyspepsia as investigational. This change is dated 09/28/2026 in the policy history.

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What to do

Action · 4 steps
01Billing team: Treat percutaneous electrical nerve field stimulation for abdominal pain in disorders of gut-brain interaction, including irritable bowel syndrome and functional dyspepsia, as investigational under this policy.
02Investigational services are not considered medically necessary, and BCBSMS makes no payment for services not documented to be medically necessary.
03CPT 64567 is listed in the policy's investigational codes table.
04For Federal Employee Program members, FDA-approved devices may be assessed only on the basis of their medical necessity.

Codes mentioned

64567

Original notice

Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel Syndrome
bcbsms.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross & Blue Shield of Mississippi changes →
Percutaneous Electrical Nerve Field Stimulation for Disorders of Gut-Brain InteractionMediumNo effective date · Medical PolicyPercutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation TherapyMediumEffective Oct 1, 2026 · Medical PolicyBrowse every Blue Cross & Blue Shield of Mississippi change in the policy list

Related policy hubs

Blue Cross & Blue Shield of Mississippi policiesGastroenterologyPain ManagementCode 64567

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