CommercialCoverageMedium impact
Transcutaneous Electrical Nerve Stimulator (TENS)
Blue Cross & Blue Shield of Mississippi·MS · Pain Management, PM&R (Physical Medicine & Rehab), Neurology +3 more·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi updated their TENS policy requiring a one-month trial period with physician re-certification before continued benefits. The policy specifies coverage only for chronic intractable back pain (lumbar, cervical, thoracic) after other treatments have failed.
Action Required
Immediately: Billing team must ensure TENS claims include documentation of failed prior treatments and require physician re-certification after one-month trial period. Update prior authorization workflows to verify back pain diagnosis (lumbar, cervical, or thoracic only). Flag sympathetic therapy claims as investigational/non-covered.