CUSTOMER SERVICE: Insurance Reimbursement
Many private insurance companies, such as Aetna, United Healthcare and Blue Cross often reimburse patients for the purchase of a Fisher Wallace Stimulator® when it is prescribed for the treatment of pain using the procedure code E0720.
A letter of medical necessity may be required to obtain coverage. You may download a template of this letter. Your doctor will need to edit the template to reflect your particular situation.
Fisher Wallace Laboratories is not in network with any insurance.
Fisher Wallace Laboratories does not process reimbursement paperwork on behalf of its customers, but will assist customers throughout the process.
Federal Tax ID # for Fisher Wallace Laboratories, LLC: 20-8131183
Device Reimbursement Code (Procedure HSPCS Code): E0720
When our device is administered by the healthcare provider, the following CPT codes apply for coverage:
Initial Office Visit (assessment only) / Code 99215 (office visit for established patient): Patient is assessed and provided with a self-assessment symptom tracking document.
Office Visits for Treatment / Codes 99213 or 99214 (office visit) plus two billings of 97032GP (electrical stimulation, manual, 15 min) per visit to cover the 20-minute treatment session plus set up and breakdown. Ideally, a minimum of nine visits occur within a two-week period (five consecutive days, followed by four consecutive days).
Concluding Assessment / Code 99215: If the patient reports significant improvement and no significant adverse events, he/she may be provided with a device for use at home using code E0720NU or E1399. A letter of medical necessity may be required to obtain coverage. You may want to download a template of this letter. Your doctor will need to edit the template to reflect your particular situation.