Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · Neurology, PM&R (Physical Medicine & Rehab)Medium impact
Functional Neuromuscular Electrical Stimulation
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Neuromuscular stimulation is considered investigational as a technique to restore function following nerve damage or nerve injury. This includes providing upper-extremity function in individuals with nerve damage such as spinal cord injury or post-stroke, improving ambulation in individuals with foot drop caused by congenital disorders such as cerebral palsy or by nerve damage such as post-stroke or multiple sclerosis, and providing ambulation in individuals with spinal cord injury. Functional electrical stimulation devices for exercise in individuals with spinal cord injury are also considered investigational. Under the Federal Employee Program, FDA-approved devices may not be considered investigational and may be assessed only on the basis of medical necessity.
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01REQUIREMENTS: Claims for neuromuscular electrical stimulation used for upper-extremity function in individuals with nerve damage, for ambulation in individuals with foot drop, or for ambulation in individuals with spinal cord injury fall under this policy's investigational statement, and the policy states that investigational technology is not considered medically necessary.
02Claims for functional electrical stimulation devices used for exercise in individuals with spinal cord injury fall under the same investigational statement.
03Services are paid only when documented as medically necessary, because BCBSMS makes no payment for services not documented to be Medically Necessary.
04For Federal Employee Program members, FDA-approved devices may be assessed only on the basis of medical necessity.
Codes mentioned
64580E0745E0764E0770
Original notice
Functional Neuromuscular Electrical Stimulation
bcbsms.com · Always check the source before changing claims.
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