Blue Cross and Blue Shield of Texas policy
Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy
Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy is a public Blue Cross and Blue Shield of Texas policy (policy MED205.032, effective Oct 15, 2025). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- MED205.032
- Effective
- Oct 15, 2025
- Line of business
- Commercial, Medicaid
- Source
- medicalpolicy.hcsc.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 64553 | Policies naming 64553 |
| 64561 | Policies naming 64561 |
| 64590 | Policies naming 64590 |
| 64999 | Policies naming 64999 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list