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Best Diagnosis Codes for E-stim

By:  ChiroCode
Published:  November 21st, 2016

Electrical stimulation (97014) will affect the body in many ways including:

  • stimulating muscles to contract
  • stimulating nerves to decrease pain
  • increasing blood flow to speed healing and reduce inflammation.

Some of the following might be diagnoses that justify this service: ·

  • Spinal pain** (M54.2, M54.5, M54.6)
  • Myalgia (M79.1)
  • Muscle spasms (M62.83-)
  • Inability to contract muscles, weakness or denervation (M62.81)
  • Poor muscle coordination
  • Peripheral edema** (R60.0)
  • Inflammation (M60.88)

Some payers consider the use of e-stim for pain or edema investigational, so check with guidelines before billing for this service.

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