External Upper Limb Tremor Stimulator Therapy
National · Effective Apr 7, 2024
1 active Medicare policy lists A4542, and 3 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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National · Effective Apr 7, 2024
3 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of A4542 |
|---|---|---|
| External Upper Limb Stimulation for the Treatment of Tremors | Jul 1, 2026 | Not covered |
| Policy | Effective | Status of A4542 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of A4542 |
|---|---|---|
| Threshold Electrical Stimulation as a Treatment of Motor Disorders | Mar 1, 2026 | Covered |