CMS has issued a decision memo for TENS for chronic low back pain (CLPB). This decision was released on June 8, 2012.
For the purposes of this decision CLBP is defined as:
- an episode of low back pain that has persisted for three months or longer; and
- is not a manifestation of a clearly defined and generally recognizable primary disease entity. For example, there are cancers that, through metastatic spread to the spine or pelvis, may elicit pain in the lower back as a symptom; and certain systemic diseases such as rheumatoid arthritis and multiple sclerosis manifest many debilitating symptoms of which low back pain is not the primary focus.
The final decision is TENS is not reasonable and necessary for the treatment of CLBP under section 1862(a)(1)(A) of the Social Security Act.
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