9 commercial payer policies list E0764. 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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9 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of E0764 |
|---|---|---|
| Spasticity Management | Jun 21, 2023 | Covered |
| Policy | Effective | Status of E0764 |
|---|---|---|
| Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES) | Not recorded | Covered |
| Policy | Effective | Status of E0764 |
|---|---|---|
| Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES) | Apr 15, 2026 | Not covered |
| Policy | Effective | Status of E0764 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of E0764 |
|---|---|---|
| Functional Electrical Stimulators (Non-Pain) | Aug 3, 2026 | Covered |
| Policy | Effective | Status of E0764 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 | Covered |
| Policy | Effective | Status of E0764 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 | Covered |
| Policy | Effective | Status of E0764 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 | Covered |
| Policy | Effective | Status of E0764 |
|---|---|---|
| Electrical Stimulators | Not recorded | Covered |