Sample format and codes that your physician will need are as follows:
- Diagnosis: Chronic Intractable Pain (DX Code – G89.4)
- Other Possible Diagnosis Codes: Other Chronic Pain (DX Code – G89.29) and Unspecified Idiopathic Peripheral Neuropathy (DX Code – G60.9 DX Code – 90.09)
- Sample Rx Language: ReBuilder Model 300 (DME Code E0720) for treatment of chronic pain, ReBuilder Model 2407 (DME Code E0730) for treatment of chronic pain.
- FDA Description for ReBuilder is: TENS, ReBuilder, brand specific for chronic pain (No Generic Substitutions)
