Peripheral Nerve Stimulation
JE · Effective Oct 1, 2015
3 active Medicare policies list 64555, and 36 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
National · Effective Oct 23, 2025
36 policies from 13 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 64555 |
|---|---|---|
| Complex Regional Pain Syndrome (CRPS): Treatments | Feb 27, 2024 | Covered |
| Constraint-Induced Therapy | Sep 14, 2023 | Covered |
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Peripheral Electrical Nerve Stimulation for Pain | Feb 8, 2024 | Covered |
| Post-Herpetic Neuralgia | Feb 20, 2024 | Covered |
| Policy | Effective | Status of 64555 |
|---|
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Sep 1, 2026 | Covered |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | Oct 15, 2025 | Covered |
| Temporomandibular Joint Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Sep 1, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | Oct 15, 2025 | Covered |
| Temporomandibular Joint Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Sep 1, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | Oct 15, 2025 | Covered |
| Temporomandibular Joint Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Sep 1, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | Oct 15, 2025 | Covered |
| Temporomandibular Joint Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Cigna Commercial Interventional Pain Management Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Headache, Occipital, and/or Trigeminal Neuralgia Treatment | Jun 15, 2026 | Not covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain | Jan 6, 2026 | Covered |
| Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and Related Procedures) | Oct 1, 2026 | Not covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation and Peripheral Subcutaneous Field Stimulation | Sep 1, 2026 | Covered |
| Occipital Nerve Stimulation | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 | Covered |
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 | Covered |
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 | Covered |
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | Not recorded | Covered |
| Policy | Effective | Status of 64555 |
|---|---|---|
| Electrical Stimulators | Not recorded | Covered |