Peripheral Nerve Stimulation
JE · Effective Oct 1, 2015
3 active Medicare policies list 64569, and 15 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
15 policies from 10 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 64569 |
|---|---|---|
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Tinnitus Treatments | Feb 16, 2024 | Covered |
| Vagus Nerve Stimulation | Feb 9, 2024 | Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea | Not recorded | Covered |
| Vagus Nerve Stimulation |
| Not recorded |
| Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and Related Procedures) | Oct 1, 2026 | Not covered |
| Vagus Nerve Stimulation | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Occipital Nerve Stimulation | Jun 1, 2026 | Covered |
| Vagus Nerve Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Obstructive and Central Sleep Apnea Treatment | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64569 |
|---|---|---|
| Obstructive and Central Sleep Apnea Treatment | Oct 1, 2026 | Covered |