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Groups Pained By CMS’ Use Of Coverage With Evidence Development In TENS Proposal

A recent Medicare coverage proposal for transcutaneous electrical nerve stimulation for chronic low-back pain is an unprecedented application of CED to turn back coverage of an established treatment, numerous parties tell CMS.

Device makers, clinicians and private insurers say CMS is out of line in attempting to apply its coverage-with-evidence-development (CED) policy to restrict access to transcutaneous electrical nerve stimulation for chronic low-back pain.

Medicare policy for more than 20 years has allowed relatively broad coverage for TENS to treat low-back pain. But a CMS proposal in March would restrict coverage to patients enrolled...

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