Medicare AdvantageCoverageMedium impact
MA05.006l, Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies
Independence Blue Cross·PM&R (Physical Medicine & Rehab), Pain Management, Neurology +3 more·Medical Policy
Effective date
Dec 29, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.006l updated the medical necessity criteria for Transcutaneous Electrical Nerve Stimulators (TENS) and associated supplies. The billing team needs to review new documentation requirements and coverage criteria for TENS units and related supplies when billing Medicare Advantage plans.
Action Required
By December 29, 2025: Billing team must review updated medical necessity criteria for TENS units and supplies in Medicare Advantage policy MA05.006l. Update prior authorization workflows and ensure documentation meets new requirements. Verify coverage criteria before submitting claims to avoid denials.