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Percutaneous Electrical Nerve Field Stimulation for Disorders of Gut-Brain Interaction
Effective date
Not stated in the notice
Identified
Oct 17, 2026
Summary
Blue Cross Blue Shield Association policy 2.01.106 was updated on 09/28/2026 to list percutaneous electrical nerve field stimulation for abdominal pain in disorders of gut-brain interaction, including irritable bowel syndrome and functional dyspepsia, as investigational. On the same date the policy title changed from the irritable bowel syndrome version to Disorders of Gut-Brain Interaction. Investigational means the treatment is not yet recognized as generally accepted standard practice and is therefore not considered medically necessary.
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What to do
Action · 5 steps
01REQUIREMENTS: Billing team: When billing percutaneous electrical nerve field stimulation for abdominal pain in disorders of gut-brain interaction, including irritable bowel syndrome and functional dyspepsia, treat the service as investigational, because the policy considers it not medically necessary.
02Code 64567 is listed as investigational and was added 01/01/2026.
03CPT 40720T was deleted 12/31/2025.
04For Federal Employee Program members, FDA-approved devices may not be considered investigational and may be assessed only on medical necessity.
05Use the member's specific benefit plan language, not the policy guidelines alone, to decide coverage.
Codes mentioned
64567
Original notice
Percutaneous Electrical Nerve Field Stimulation for Disorders of Gut-Brain Interaction
bcbsms.com · Always check the source before changing claims.
Related changes
See all Blue Cross & Blue Shield of Mississippi changes →Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation TherapyMediumEffective Oct 1, 2026 · Medical PolicyPercutaneous Electrical Nerve Field Stimulation for Irritable Bowel SyndromeHighNo effective date · Medical PolicyBrowse every Blue Cross & Blue Shield of Mississippi change in the policy list