Tibial Nerve Stimulation | BCBS Montana | Backwork

Tibial Nerve Stimulation

BCBS Montana · PayerPolicy · BCBSMT-MED205.035

Status: Active
Effective: January 1, 2026
Last checked by Backwork: September 30, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with BCBS Montana before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
0587T	CPT	Covered
0588T	CPT	Covered
0589T	CPT	Covered
0590T	CPT	Covered
0816T	CPT	Covered
0818T	CPT	Covered
64566	CPT	Covered
64999	CPT	Covered
A4545	HCPCS	Covered
E0736	HCPCS	Covered
E0737	HCPCS	Covered