How To Use HCPCS Code E0720

HCPCS code E0720 describes a transcutaneous electrical nerve stimulation (TENS) device with two leads that provides localized stimulation. This code is used to identify the specific type of TENS device and its usage in medical procedures. In this article, we will explore the details of HCPCS code E0720, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS E0720?

HCPCS code E0720 is used to identify a TENS device with two leads that provides localized stimulation. TENS therapy is a non-invasive treatment that uses low-voltage electrical currents to relieve pain. The device consists of electrodes that are placed on the skin near the area of pain, and the electrical currents stimulate the nerves, which can help reduce pain signals to the brain.

2. Official Description

The official description of HCPCS code E0720 is “Transcutaneous electrical nerve stimulation (TENS) device, two lead, localized stimulation.” The short description is “Parenteral supp not othrws c.” This description accurately represents the purpose and usage of this specific TENS device.

3. Procedure

1. The healthcare provider will assess the patient’s condition and determine if TENS therapy is appropriate.
2. The provider will select a TENS device with two leads for localized stimulation.
3. The provider will place the electrodes on the patient’s skin near the area of pain.
4. The provider will adjust the settings of the TENS device, including the intensity and frequency of the electrical currents, based on the patient’s comfort level and the desired therapeutic effect.
5. The patient will typically undergo multiple TENS therapy sessions over a period of time to achieve the desired pain relief.

4. When to use HCPCS code E0720

HCPCS code E0720 should be used when a healthcare provider performs a procedure involving a TENS device with two leads for localized stimulation. This code is specifically for parenteral supplies and is used when the TENS therapy is administered through the skin.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0720, healthcare providers need to document the medical necessity of the TENS therapy and provide supporting documentation, such as the patient’s medical history, the provider’s notes on the procedure, and any relevant diagnostic tests. The documentation should clearly indicate the use of a TENS device with two leads for localized stimulation.

6. Historical Information and Code Maintenance

HCPCS code E0720 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code E0720 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Medicare and other insurers may have specific coverage guidelines and reimbursement rates for TENS therapy using a device with two leads for localized stimulation.

8. Examples

Here are five examples of when HCPCS code E0720 should be billed:

1. A patient with chronic lower back pain undergoes TENS therapy using a device with two leads for localized stimulation.
2. A patient with osteoarthritis in their knee receives TENS therapy using a device with two leads for localized stimulation.
3. A patient with fibromyalgia undergoes TENS therapy using a device with two leads for localized stimulation to manage their pain symptoms.
4. A patient recovering from a sports injury receives TENS therapy using a device with two leads for localized stimulation as part of their rehabilitation program.
5. A patient with neuropathic pain in their feet undergoes TENS therapy using a device with two leads for localized stimulation to alleviate their symptoms.