Insurance Reimbursement

GUIDELINES TO CPT® CODES - LGMedSupply TENS and Muscle Stimulator Units.

The following documentation is recommended for reimbursement:

A Diagnosis that describes the patients condition• Description of treatments that have been attempted and(i.e.medications, physical therapy)

Follow-up visit notes documenting patient benefit from the device (decreased medications, decreased pain, helped with muscle spasms, etc.

CPT Codes:

64550 Application of surface (transcutaneous) (Neurostimulator)

G0283 Electrical Stimulation (unattended) to one or more areas for indications other than wound care, as part of a therapy plan of care

**97014 Application of modality; electrical stimulation (unattended) - Not valid for Medicare use - see G028397032 Application of a modality one or more areas; Constant attendance electrical stimulation (each 15 minutes)

** Not billable through Medicare (refer to G0283)CCI EDITS for TENS

9703264550 Application of surface (transcutaneous) (Neurostimulator)97002 - PT reevaluation1

Ingenix (2004), HCPCS Level II, 2005 Expert. Salt Lake City, St. Anthony Publishing/Medicode.

The National Medicare allowable is determined by multiplying the physician fee schedule conversionfactor [for year 2005, $37.89750 by the total non-facility RVU. 69 Fed Reg (November 15, 2004)]

TENS has FDA clearance for the treatment of post surgical and post traumatic acute pain and chronic intractable pain. Most insuranceplans do cover TENS including Medicare (www.cms.hhs.gov/manuals/103_cov_determ/ncd103index.asp).

To improve the likelihood that the TENS device ewill be reimbursed, it is recommended that the patient’s medical record include documentation of the condition(s) that justifies medical necessity for a TENS device. Many payors request that a Letter of Medical Necessity be completed by the treating physician.

The Correct Coding Initiative (CCI) was developed by the Centers for Medicare & Medicaid Services(CMS) to prevent payments from being made due to inappropriate HCPCS.

Procedure Coding System--

GUIDELINES TO CPT® CODESFOR EMPI PRODUCTS We have compiled this coding information for your convenience.

Every reasonable effort has been made to provide all commonly billed codes that may be applicable to procedures involving the cleared uses of LGMedSupply's products.

It is ultimately the provider’s responsibility to determine coverage, and submit appropriate codes, modifiers and charges for the services rendered. The clinician must use independent clinical judgment in choosing codes that most accurately describe the products and/or services provided.

LGMedSupply makes no representation, guarantee or warranty, expressed or implied, that this compilation is error-free or that the use of this information will prevent differences of opinion or disputes with Medicare or other third-party payers, and will bear no responsibility or liability for the results or consequences of its use.

The clinician should also be aware that codes can change over time and/or interpretations of whether a code is properly used in a particular situation is often subject to medical policy interpretation and judgment. There is no guarantee that a local carrier/payer will cover the codesor pay the reimbursement amounts stated in this document.

Local carriers/payers frequently change their reimbursement policies and interpretations. Providers should contact the local carriers/payers for their current interpretation of coverage and coding policies. The key in all coding and billing to the federal government is to be truthful and not misleading and make full disclosures to the government in all attempts to seek reimbursement for a product and/or service.

Documentation recommendations are only guidelines to help our customers to properly document for coverage of medically necessary treatments when using our products. The clinician must use their own judgment when documenting treatment plans assessments.

Insurance Reimbursement
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Why Buy from LGMedSupply?

Google Trusted Store Customer Ratings

  • Have brought many items for LG Medical since 2012 and never had an issue. Service is always great and the products are excellent quality for a great price. If you have a question and call they are knowledgeable about their products plus the LG web site has many videos and tip. I will continue to buy from LG Medical as I feel the are one of the best in their field. DMD

    - Written on June 17, 2016
    Star Rating for Our CCTV

  • A family member ordered from LGMedSupply in the past and had great service, and that is why I felt safe ordering from them. And they didn't let me down. I got exactly what I ordered and it got to me when it was supposed to so that is why I gave them the top rating.

    - Written on July 19, 2016
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  • Great product, Great Shipping, Great Customer service. AAA+++

    - Written on July 17, 2016
    Star Rating for Our CCTV

  • I was very happy with the service that I got from the staff at LG Med Supply. I looked all over the net for over a year to see who was the main Co. that had not only what I needed but who was the Co. that seemed to be the main Manufacturer of the Tens Unit. Then I started checking who had all of the Conductive Designed Pads That my Dr. wanted me to have and here again LG Med Supply had all of the items and were offering the best prices on all of the items that I needed. LG Med Supply was hands down the best in all of the categories as far as who had all of the items that I needed from the Back Belt Strap/Neck electrode/Shoulder and Knee Conductive Designed Pads that my Dr. wanted me to start therapy with. LG Med Supply is the only web site that had a vast selection of different shaped Electrodes which deliver a totally different stimulation that really gives you a completely different feeling then a straight square pad electrode. Thank You LG Med Supply for being there in my time of need. Carter

    - Written on January 22, 2016
    Star Rating for Our CCTV


    - Written on June 16, 2016
    Star Rating for Our CCTV

  • I was very satisfied with my shopping experience. This is not my first experience and will not be my last. I am well pleased with the service and with the product.

    - Written on June 28, 2016
    Star Rating for Our CCTV

  • Excellent, friendly service and very quick delivery.

    - Written on January 31, 2016
    Star Rating for Our CCTV

  • My purchase arrived the very next day!

    - Written on January 30, 2016
    Star Rating for Our CCTV

  • have done business with folks before. Always very good with delivery. They have excellent quality stuff. I'll buy from them again.

    - Written on June 28, 2016
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  • My husband had a very painful back problem and we ordered a TENS unit from LG. We got it in a couple of days and are delighted with the service from LG and the efficiency of the TENS unit. We would highly recommend them to anyone!!

    - July 21, 2016
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  • Once you purchase from them you get they send emails for great discounts.

    - June 22, 2016
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  • Order was delivered in perfect condition & in a timely fashion.

    - June 20, 2016
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  • I did not understand fully how to use the Tens Unit. Lucy with customer service was SO patient and walked me through the entire process My feet felt better just after one session! LGMed Supply would be an excellent addition to your list of trusted companies!!

    - June 17. 2016
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  • arrived only a few days after ordering, incredibly fast service

    - June 6, 2016
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  • Received next day! Was surprised and delighted!

    - June 2, 2016
    Star Rating for Our CCTV

  • Arrived earlier than expected. Had to contact tech support as I had a question about the unit. Question was answered. Great item.

    - May 19, 2016
    Star Rating for Our CCTV

  • Well I'm amazed because it came like the very next day. If it wasn't the very next day, it was definitely the day after that. Wow, they are the fastest I ever did business with online. I'm gonna assume they keep a stock in major cities somehow. Thank you for the opportunity to give them feedback because they do deserve it. Greg L Newman

    - April 11, 2016
    Star Rating for Our CCTV

  • I have ordered from LGMedSupply before. I am always pleased with the fast shipment!

    - April 2, 2016
    Star Rating for Our CCTV

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