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Functional Electrical Stimulators (Non-Pain) - Medicare Advantage (Revised)
Act
by Nov 3, 2025
Effective date
Nov 3, 2025
Identified
Jun 24, 2026
Summary
Humana Medicare Advantage has revised its policy for Functional Electrical Stimulators (Non-Pain) with an effective date of November 3, 2025. The policy provides coverage guidance for neuromuscular electrical stimulation (NMES), functional electrical stimulation (FES), and phrenic nerve stimulation devices, following existing CMS National Coverage Determinations.
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What to do
by Nov 3, 2025 · 3 steps
01Billing team must review and align billing practices for functional electrical stimulator devices with updated Humana Medicare Advantage policy HUM-1076-009.
02Ensure compliance with referenced CMS NCDs 160.12, 160.13, and 160.19 for NMES, supplies, and phrenic nerve stimulator coverage.
03Verify medical necessity documentation requirements for covered services and update prior authorization processes as needed.
Codes mentioned
33276332773327833279332803328133287332886457593150931519315293153
Original notice
Functional Electrical Stimulators (Non-Pain) - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
Related changes
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