14 commercial payer policies list E0770. 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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14 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 E0770 |
|---|---|---|
| Functional Electrical Stimulation and Neuromuscular Electrical Stimulation | Feb 27, 2024 | Covered |
| Spasticity Management | Jun 21, 2023 | Covered |
| Vagus Nerve Stimulation | Feb 9, 2024 | Covered |
| Policy | Effective | Status of E0770 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 |
| Vagus and External Trigeminal Nerve Stimulation | Jan 1, 2026 | Covered |
|---|
| Policy | Effective | Status of E0770 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 | Covered |
| Vagus and External Trigeminal Nerve Stimulation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of E0770 |
|---|---|---|
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Oct 1, 2026 | Covered |
| Vagus and External Trigeminal Nerve Stimulation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of E0770 |
|---|---|---|
| Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES) | Not recorded | Covered |
| Policy | Effective | Status of E0770 |
|---|---|---|
| Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES) | Apr 15, 2026 | Not covered |
| Policy | Effective | Status of E0770 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of E0770 |
|---|---|---|
| Functional Electrical Stimulators (Non-Pain) | Aug 3, 2026 | Covered |
| Policy | Effective | Status of E0770 |
|---|---|---|
| Electrical Stimulators | Not recorded | Covered |