CommercialCoverageMedium impact
05.00.73g, Neuromuscular Electrical Stimulators (NMES) and Functional Electrical Stimulators (FES)
Independence Blue Cross·PM&R (Physical Medicine & Rehab), Physical Therapy, Neurology +2 more·Medical Policy
Effective date
May 28, 2025
We identified it
Jun 19, 2026
Summary
The Neuromuscular Electrical Stimulators (NMES) and Functional Electrical Stimulators (FES) medical policy has been reissued with updates to commercial plan coverage. This is a policy reissue that may contain changes to coverage criteria, prior authorization requirements, or billing guidelines for electrical stimulation devices.
Action Required
By May 28, 2025: Billing team must review the updated NMES/FES policy at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, or billing procedures. Update billing workflows and encounter forms accordingly based on the policy changes identified.