About this policy
CMS National Coverage Determination | ncd_id=31 | manual_section=130.4 | coverage_level_code=3 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
Electrical aversion therapy has not been shown to be safe and effective and therefore is excluded from coverage.
Documentation requirements
Item/Service Description: Electroversion Therapy, Electro-shock Therapy, Noxious Faradic Stimulation. Electrical aversion therapy is a behavior modification technique to foster abstinence from ingestion of alcoholic beverages by developing in a patient conditioned aversions to their taste, smell and sight through electric stimulation. Cross Reference: See §§ 30.1 , 130.1 , and 130.3 of the NCD Manual. Benefit Categories: 52 - Physicians' Services
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.