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Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel Syndrome

Blue Cross & Blue Shield of Mississippi·Gastroenterology, Pediatrics, Pain Management·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

New policy establishes that percutaneous electrical nerve field stimulation (PENFS) for irritable bowel syndrome is considered investigational and not covered. A new CPT code 64567 replaces the deleted code 0720T effective January 1, 2026.

Action Required

Action needed
By January 1, 2026: Billing team must update billing system to replace deleted CPT code 0720T with new CPT code 64567 for percutaneous electrical nerve field stimulation procedures. Mark both codes as investigational/non-covered in system. Update encounter forms and coding references. Claims for these procedures will likely be denied as investigational.

Affected Billing Codes

64567