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Independence Blue CrossCommercial · Billing Codes · Medical Policy · PA · Pain Management, Physical Therapy, PM&R (Physical Medicine & Rehab) +3 moreLow impact

05.00.74k, Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies

Act
by Oct 1, 2025
Effective date
Oct 1, 2025
Identified
Jun 19, 2026

Summary

Independence Blue Cross updated TENS policy 05.00.74k to 05.00.74l, replacing the single ICD-10 code R10.2 (Pelvic and perineal pain) with four more specific codes (R10.21, R10.22, R10.23, R10.24) effective 10/01/2025. This is a routine ICD-10 CM coding update to align with current coding specificity requirements; coverage criteria and billing codes remain unchanged.

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What to do

by Oct 1, 2025 · 5 steps
01Billing and clinical documentation teams must update diagnosis code mapping in the billing system to use the new, more specific ICD-10 codes (R10.21, R10.22, R10.23, R10.24) instead of the deleted code R10.2 for pelvic and perineal pain.
02Update any standing orders, encounter templates, and superbills used for TENS authorization and claims to reflect the new codes.
03Ensure providers document which side (right, left, bilateral) or type (suprapubic) of pelvic/perineal pain is present to support accurate code selection.
04No changes needed for HCPCS device or supply codes (E0720, E0730, A4595, A4557, A4558, A4630, A4556) or other covered diagnoses.
05Claims submitted with the old R10.2 code after the effective date may be denied or require correction.

Codes mentioned

E0720E0730A4556A4557A4558A4595A4630R10.2R10.21R10.22R10.23R10.24G89.12G89.18G89.21G89.29G89.3G89.4

Original notice

05.00.74k, Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies
medpolicy.ibx.com · Always check the source before changing claims.
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Related changes

See all Independence Blue Cross changes →
MA05.006k, Transcutaneous Electrical Nerve Stimulators (TENS) and Associated SuppliesMediumEffective Oct 1, 2025 · Medical PolicyMA05.006l, Transcutaneous Electrical Nerve Stimulators (TENS) and Associated SuppliesMediumEffective Dec 29, 2025 · Medical Policy05.00.74l, Transcutaneous Electrical Nerve Stimulators (TENS) and Associated SuppliesLowEffective Dec 29, 2025 · Medical Policy05.00.74l, Transcutaneous Electrical Nerve Stimulators (TENS) and Associated SuppliesMediumEffective Dec 29, 2025 · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesPA policy changesPain ManagementPhysical TherapyPM&R (Physical Medicine & Rehab)OrthopedicsNeurologyGeneral SurgeryCode E0720Code E0730Code A4556Code A4557Code A4558Code A4595Code A4630Code R10.2Code R10.21Code R10.22Code R10.23Code R10.24Code G89.12Code G89.18Code G89.21Code G89.29Code G89.3Code G89.4

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