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Functional Electrical Stimulation and Neuromuscular …

    https://www.aetna.com/cpb/medical/data/600_699/0677.html
    Note: Aetna considers the FES exercise devices such as the FES Power Trainer, ERGYS, REGYS, NeuroEDUCATOR, STimMaster Galaxy, RT200 Elliptical, RT300 FES Cycle Ergometer (also referred to as a FES bicycle), RT600 Step and Stand Rehabilitation …

DME.00022 Functional Electrical Stimulation (FES

    https://medpol.providers.amerigroup.com/dam/medpolicies/amerigroup/active/policies/mp_pw_a049573.html
    This document addresses uses of functional electrical stimulation (FES) and threshold electrical stimulation (TES) devices. FES is used in neurologically impaired …

Medical Policy Functional Neuromuscular Electrical Stimulation

    https://www.bluecrossma.org/medical-policies/sites/g/files/csphws2091/files/acquiadam_assets/2022-04/201%20Functional%20Neuromuscular%20Electrical%20Stimulation%20prn.pdf
    FES devices consist of an orthotic and a microprocessor-based electronic stimulator with 1 or more channels for delivery of individual pulses through surface or implanted electrodes …

Functional Electrical Stimulation (FES) - JA DME

    https://med.noridianmedicare.com/web/jadme/policies/dmd-articles/2019/fes-coverage-and-hcpcs-coding-revised
    Functional electrical stimulation is a technique that uses electrical impulses to activate paralyzed or weak muscles in precise sequence. The FES device transmits …

Neuromuscular, Functional, & Therapeutic Electrical …

    https://www.paramounthealthcare.com/assets/documents/MedicalPolicy/PG0228_Neuromuscular_Functional-Therapeutic_Electrical_Stimulation_Therapy.pdf
    Functional electrical stimulation (FES) is the direct application of electric current to intact nerve fibers in a coordinated fashion to cause involuntary but purposeful muscle …

Functional Neuromuscular Electrical Stimulation - HCSC

    http://www.medicalpolicy.hcsc.net/medicalpolicy/archivePolicyPage?lid=k11wymdo&
    This medical policy focuses on devices intended for home use. Regulatory Status A variety of FES devices have been cleared by the U.S. Food and Drug …

FEP Medical Policy Manual - fepblue.org

    https://www.fepblue.org/-/media/PDFs/Medical%20Policies/7-13-2021/80301%20Functional%20Neuromuscular%20Electrical%20Stimulation.pdf
    The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice. …

Blue Cross Blue Shield of Minnesota Medical Policy

    https://securecms.bluecrossmnonline.com/content/medpolicy/en/minnesota/core/all/policies/Ancillary_Services/VII-11/VII-11-009.html
    This policy is designed to address medical guidelines that are appropriate for the majority of individuals with a particular disease, illness, or condition. Each person's …

Status Medical and Behavioral Health Policy - AAPC

    https://www.aapc.com/codes/webroot/upload/general_pages_docs/document/Functional_Neuromuscular_Electrical_Stimulation_Devices.pdf
    FES devices designed as ergometers, including but not limited to the FES Power Trainer, ERGYS, REGYS, NeuroEDUCATOR, STimMaster Galaxy, and RT300 motorized FES …

MEDICAL COVERAGE POLICY SERVICE: …

    https://swhp.org/Portals/0/Medical%20Coverage%20Policies/251-Neuromuscular-Stimulation.pdf
    plan members, this policy will apply unless there are Medicare policies that provide differing coverage rules, in which case Medicare coverage rules supersede guidelines in …



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