Peripheral Nerve Stimulation
JE · Effective Oct 1, 2015
8 active Medicare policies list 64561, and 20 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
JJ · Effective Nov 5, 2023
JM · Effective Nov 5, 2023
National · Effective Oct 23, 2025
National · Effective Jun 17, 2025
National · Effective Apr 6, 2026
National · Effective Mar 5, 2026
20 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 64561 |
|---|---|---|
| Levator Syndrome Treatments | Sep 19, 2023 | Covered |
| Pelvic Congestion Syndrome Treatments | Jun 14, 2023 | Covered |
| Vulvodynia and Vulvar Vestibulitis Treatments | Oct 26, 2023 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Fecal Incontinence Treatments | Not recorded | Covered |
| Urinary Incontinence Devices and Treatments |
| Not recorded |
| Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | Oct 15, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | Oct 15, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | Oct 15, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | Oct 15, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal Incontinence | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Nerve Stimulation for Urinary Incontinence | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Sacral Nerve Neuromodulation (Stimulation) for Pelvic Floor Dysfunction | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64561 |
|---|---|---|
| Urinary and Fecal Incontinence: Diagnosis and Treatment | Not recorded | Covered |