Many private insurance companies, such as Aetna, Cigna and Blue Cross will either pay for or reimburse the purchase of a Fisher Wallace Stimulator when it is prescribed for the treatment of pain using the code E0720NU.  When the device is prescribed for the treatment of depression, anxiety and insomnia, the reimbursement rate decreases significantly.  Fisher Wallace Laboratories does not process reimbursement paperwork on behalf of its customers, but will assist customers during the process.  The following information is typically required by insurance companies to process a reimbursement (or payment) request:

Federal Tax ID # for Fisher Wallace Laboratories, LLC:  20-8131183

NPI #:  1497045215

DEVICE REIMBURSEMENT (HSPCS) CODE: E0720NU 

The customer needs to call their insurance company, provide them with the device reimbursement code (procedure HSPCS code) as well as the diagnosis code which should be supplied by their healthcare professional. The insurance company then typically sends a DME (Durable Medical Equipment) claim form which needs to be filled out with all the above mentioned information and attached to the proof of payment. When you purchase one of our devices, you will receive an automatic email receipt that includes our Federal Tax ID #, out NPI # and the appropriate reimbursement code for our device.

NOTE:  Patients who encounter difficulty receiving insurance approval may enhance their claim by submitting a letter from their doctor that describes the necessity of the device.  You may download a template for this letter by clicking HERE.   Your doctor will need to edit the template letter to reflect your particular situation.  The letter should be signed by your doctor and printed on the doctor's professional stationary. 

MEDICARE

Medicare does not currently reimburse patients for purchasing our device. However, if you have a secondary plan with a private insurance which covers the device, first you will need to get a denial from Medicare for coverage in order to apply for reimbursement from the secondary insurance. To do so please call Medicare and ask for the 1490S Medicare form that you will need to fill out, attach your prescription, proof of payment and a cover letter stating that you are requesting a denial. All that information needs to be sent to the Medicare Durable Medical Equipment address in your state (call Medicare to obtain that address). After you have received a denial from Medicare, you will be able to submit to your secondary insurance. 

Office Visit Codes for receiving treatment by a doctor in the office:

G0283 Electrical Stimulation (unattended), to one or more areas for indications other than wound care, as part of a therapy plan of care

FDA 510(k) Clearance:

K894515, K902976, K903654, K896226, K900731