These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information and your plan documents, your plan will be used to determine your coverage.
Prior authorization is not applicable for cranial electrotherapy stimulation because it is considered investigational/experimental. The provider and facility will be liable for payment unless:
- The provider notifies the member that a specific service has been determined by HealthPartners to be investigational/experimental; and
- The member signs a waiver agreeing to pay for the specific non-covered service being rendered; and
- The claim has been billed with a GA modifier indicating such. If the member has signed a waiver agreeing to pay for the specific service then the member will be liable for payment.
Cranial Electrotherapy Stimulation is considered experimental and investigational/experimental for all conditions, and is therefore not covered.
Cranial Electrotherapy Stimulation, also called transcranial electrical stimulation, cranial transcutaneous electrical nerve stimulation (TENS), electrosleep, and neuroelectric therapy, has been used to treat a variety of conditions including depression, anxiety and insomnia. Low levels of electrical current are received through electrodes attached to the ear lobes or behind the ears.
If available, codes are listed below for informational purposes only, and do not guarantee member coverage or provider reimbursement. The list may not be all-inclusive.
E1399 - Durable medical equipment, miscellaneous
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This information is for most, but not all, HealthPartners plans. Please read your plan documents to see if your plan has limits or will not cover some items. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage. These coverage criteria may not apply to Medicare Products if Medicare requires different coverage. For more information regarding Medicare coverage criteria or for a copy of a Medicare coverage policy, contact Member Services at 952-883-7979 or 1-800-233-9645.