Correct Coding - Cefaly®

by  Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
December 4th, 2014

The Cefaly® device (Cefaly Technology) is a transcutaneous electrical nerve stimulator (TENS) that is applied to the forehead using a self-adhesive electrode positioned bilaterally over the upper branches of the trigeminal nerve. The Cefaly® device is intended to stimulate the upper branches of the trigeminal nerve and has received Food and Drug Administration (FDA) approval for the prophylactic treatment of episodic migraine headache.

Items that serve a prevention or precautionary purpose are non-covered by Medicare. The correct code for Cefaly® is:

A9270 – Noncovered item or service.

For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.

Date Posted 10/08/14

References:

• PDAC - Medicare Pricing, Data Analysis and Coding