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Cranial Electrotherapy Stimulation (CES) and Auricular Electrostimulation
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Cranial electrotherapy stimulation is investigational in all situations, and electrical stimulation of auricular acupuncture points is considered investigational in all situations. The investigational codes listed are CPT 0783T, HCPCS A4543, A4596, E0721, E0732, and S8930. Federal Employee Program may dictate that FDA-approved devices, drugs or biologics may not be considered investigational and may be assessed only on the basis of their medical necessity.
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What to do
Action · 5 steps
01Billing team: Cranial electrotherapy stimulation is investigational in all situations under this policy, and electrical stimulation of auricular acupuncture points is investigational in all situations.
02Billing team: Investigative services are defined as not yet recognized as a generally accepted standard of good medical practice and are therefore not considered medically necessary.
03Billing team: The investigational codes in the code reference are CPT 0783T, HCPCS A4543, A4596, E0721, E0732, and S8930.
04Billing team: Check the member's specific benefit plan language, because the coverage guidelines in the Medical Policy Manual should not be used in lieu of that language.
05Billing team: For Federal Employee Program members, check whether FDA-approved devices may be assessed only on the basis of their medical necessity.
Codes mentioned
A4543A4596E0721E0732S8930
Original notice
Cranial Electrotherapy Stimulation (CES) and Auricular Electrostimulation
bcbsms.com · Always check the source before changing claims.