1. marilyn cadiz
   Posted 11 months ago #
   

   My physician purchased an electronic muscle stimulator. How do we bill? What is the procedural code(s) and icd-9 code (s)?

2. SuperCoder
   Posted 11 months ago #
   

   Use 20974 or 20975 as appropriate as per description of these codes. For ICD, check the LCD/Crosswalk.
   Generally, ICD should be coded for specific musculoskeletal disorder or if no such code found appropriate, you can check in for 723.9

3. marilyn cadiz
   Posted 11 months ago #
   

   Help, I was told to use 97032. Code 723.9, if I am reading it correctly that it pertains to the cervical/neck area?

4. marilyn cadiz
   Posted 11 months ago #
   

   Just want to be more clear of the device: EMS/TENS . Was told to bill E0720 for Medicare. For commercial, bill 20974 and how about a placement code?

5. SuperCoder
   Posted 11 months ago #
   

   You can use 97032 for placement of electrodes for electrical stimulation.
   Yes, 723.9 pertains to cervical/neck area.
   20974 to be used when "Electrical stimulation is used to aid bone healing'", whereas E0720 is for "nerve"stimulation device. But your question was for "muscle" stimulator.

6. marilyn cadiz
   Posted 11 months ago #
   

   I didn't realize the difference. So use 20974 for "muscle" and what code would I use for Medicare?
   Thank you Sanjit.

7. Richard Frazier
   Posted 10 months ago #
   

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8. marilyn cadiz
   Posted 10 months ago #
   

   Richard, what do you mean by your multiple "x"s?

9. marilyn cadiz
   Posted 9 months ago #
   

   I just learned that the Doctor do not have a DME number, therefore, we can't bill "E0730"
   to Medicare/Medicaid. We will just bill for the services. Need help as to what are the "procedure" codes that I can bill Medicare/Medicaid just for the service?

10. Jasmine Vializ
    Posted 9 months ago #
    

    Depending on the type of machine:
    Either CPT 97014: Application of a modality to 1 or more areas; electrical stimulation (unattended)
    HCPCS Level II - G0283: Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care

    Or

    CPT 97032: Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes

11. marilyn cadiz
    Posted 9 months ago #
    

    The DME code is E0730 TENS unit which was purchased for the office not for one particular patient so not billing as DME just billing for physicians service.
    I was told that when the procedure is being done, the nurse stays with the patient. Confused as to the appropriate code to bill Medicare, medicaid, etc. Should I use "64550" (but the patient does not take the equipment home)"G0283" states "unattended" but service is attended when the service is being provided in the office. Confused.

12. marilyn cadiz
    Posted 9 months ago #
    

    Please, so if we are using Tens device "E0730" please clarify do we need to use "64550" but patient does not take the equipment home after initial application "64550". The procudure takes atleast 10 minutes/session "attended" so would "97014" be appropriate and if the procedure is repeated, do we bill "97032" or "97014" twice with a modifier for the second session?

13. SuperCoder
    Posted 9 months ago #
    

    Since the application of the modality for at least 10 min/session "attended", so we can't bill the "unattended" one (97014). The only option left is 97032.
    So, if the procedure is repeated, then we can bill for two units of 97032.

14. marilyn cadiz
    Posted 9 months ago #
    

    Thank you Sanjit. How about Medicare? What code can I use to bill for "attended" session if "G0283" is "unattended"?

15. marilyn cadiz
    Posted 9 months ago #
    

    Sanjit, thank you for all your input. To finalize this question, I actually called the supplier to get more information about this device. I was told that it is "not" a Tens unit but just an EMS,(Electronic "Muscle" Stimulator), four (4) leads and that the code they assigned which is "E0730" was incorrect to describe the device. I was now given "E0744" or E0745" can be used to describe the unit. How would we appropriately code the service for this EMS unit "CPT and HCPS"? Would it still be "97032" and how about an HCPS code for Medicare?
    Thank you so much.

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