Peripheral Nerve Stimulation
JE · Effective Oct 1, 2015
7 active Medicare policies list 64585, and 21 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
21 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 64585 |
|---|---|---|
| Fecal Incontinence Treatments | Not recorded | Covered |
| Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea | Not recorded | Covered |
| Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | Not recorded | Covered |
| Urinary Incontinence Devices and Treatments | Not recorded | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation and Peripheral Subcutaneous Field Stimulation |
| Sep 1, 2026 |
| Covered |
| Occipital Nerve Stimulation | Jun 1, 2026 | Covered |
|---|
| Sacral Nerve Neuromodulation (Stimulation) for Pelvic Floor Dysfunction | Dec 1, 2025 | Covered |
|---|
| Policy | Effective | Status of 64585 |
|---|---|---|
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Peripheral Electrical Nerve Stimulation for Pain | Feb 8, 2024 | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal Incontinence | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64585 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |