The ReBuilder qualifies for reimbursement under the code E0720.
In our ongoing efforts to keep the cost down for the ReBuilder, we do not provide staffing to enable us to interact with insurance companies on your behalf. (We do sometimes provide them with needed codes if they call us.) We cannot represent you with your insurance company directly because of the excessive time and record keeping expense that would have to be averaged into the unit's price.
The ReBuilder is fully registered with the FDA as both a TENS device(E0720) (for pain) and separately, as an EMS (E0745) for muscle atrophy with intact nerve. Most insurance companies recognize, understand, and prefer the TENS description.
[Although the FDA calls the ReBuilder a TENS device because of their limited number of classifications, the function of the ReBuilder is exactly the opposite of a common TENS device. TENS is meant to close nerve channels, while the ReBuilder is designed to open nerve channels.]
Blue Cross, Blue Shield, and other private plans:
You will not need a prescription to purchase your ReBuilder, but you will need a prescription to provide to your insurance company as part of your claim. Most people purchase their ReBuilder, use it for 30-60 days successfully, and then ask their physician for a prescription and a letter of medical necessity. The format and codes your physician will need for forms are as follows...
(The 1st Three are Required) Diagnosis: "chronic intractable pain" (DX Code: 338.4)
Prescription: DME Code E0720. FDA description is TENS. "ReBuilder, brand specific, for pain." (no generic substitutions) Medical Necessity: "This device is medically necessary for the treatment of intractable pain unresponsive to drugs, surgery, and/or physical therapy. Patient has responded well to this treatment." History of Failed meds: To further strengthen your claim, we suggest your doctor also include a brief history of failed medications or other attempted modualties. (This can be part of the "medical necessity" letter.) Evaluation Study: To further strengthen your claim, we suggest your doctor also include a brief evaluation study showing improvement. sample |
ReBuilder treatments in a clinic and product re-imbursement for home use are routinely covered by most insurance companies and Medicare under the codes used for electrical stimulation.
If your physician prescribes a ReBuilder for you, he will write a prescription, submit a medical necessity form, and most commercial insurance companies will reimburse according to the terms of your unique policy, usually 50-90% of the purchase price.
click here for a printable version of this
Medicare Policy:
Recent developments with Medicare has caused a ruckus! Until recently, Medicare was covering the Rebuilder, no matter where it was purchased. (like the providers above) New regulations now dictate that for Medicare re-imbursement, all purchases must be made through a registered Medicare supplier, also known as a DME (Durable Medical Equipment Supplier). The manufacturer (Rebuilder Medical Technologies) is now handling ALL Medicare people and deals with Medicare on your behalf. Apply for Medicare Reimbursement Here.
NOTE: The Rebuilder Medicare kit retails for around $1400, plus at least 2 doctor visits. In many cases, your deductible portion would be just about what you can buy it for here directly, and you save all the Medicare hassle. (Examples: If your deductible is 40%, you still pay $560, plus 2 doctor's visits.) Ask your Medicare rep about your deductible if you don't know.
Because we sell direct to the consumer, bypassing middleman and insurance companies, you can save 50% - 60% off "retail" here. If you do buy direct from us at this discounted price, you will NOT be able get reimbursed by Medicare.
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Any statements about the ReBuilder, insurance, medicare, peripheral neuropathy, diabetic neuropathy, neuropathy treatments, and other topics are for information only, and not meant to replace the services or opinion of your physician. Although The ReBuilder is FDA Registered, these statements have not been reviewed by the FDA. The Rebuilder improves or cures neuropathy in 94%.
