Durable Medical Equipment for Physicians
Metro: 469.698.0250  |  
Fax: 866.279.6774
1101 Ridge Road, Suite 201, Rockwall, TX 75087

dMedicus MTH

Your Pain
95% of the time pain is muscle pain. It may be caused by bad joints or discs but the pain is muscular in nature.

The dMedicus MTH is a combo stim that treats both muscle nerve and joint pain.

This is what we need from you to supply you with a dMedicus MTH:

1. We need a doctor's prescription. This prescription must have two things:

dMedicus MTH unit with 12 months of supplies

Diagnosis code used to describe the pain you have

Please be aware that Medicare will not pay for this device for low back pain. There is a list of the actual codes that will print with these instructions for your doctor's review. It also has the codes that will not be covered.

2. We will need the progress notes for your last visit to your doctor. These notes will need to describe your pain. The diagnosis code describing your pain should correspond with the diagnosis code on your prescription.

3. We will need your insurance and contact information.

Diagnosis Codes That Are COVERED

These are common pain diagnosis that can be used for any part of the body:

M79.1    Myalgia
M60.9    Myositis, unspecified
M79.7    Fibromalgia
G89.4    Chronic Pain Syndrome

These are common pain diagnosis that can be used for specific parts of the body:

M54.2      Cervicalgia
M25.511  Pain in Right Shoulder
M25.512  Pain in Left Shoulder
M54.6      Pain in Thoracic Spine
M19.90    Osteoarthritis Pain
M77.11    Lateral Epicondylitis, Right Elbow
M77.12    Lateral Epicondylitis, Left Elbow
M25.561  Pain in Right Knee
M25.562  Pain in Left Knee
M25.551  Pain in Right Hip
M25.552  Pain in Left Hip

  

Diagnosis Codes That Are
NOT COVERED
Please note that Lower Back Pain is NOT Covered

These are pain diagnosis that will NOT be covered:

G54.4     Lumbosacral Root Lesions Not Elsewhere Classified
M45.9     Ankylosing Spondylitis of Unspecified Sites in Spine
M47.817 Lumbosacral Spondylosis Without Myelopathy
M47.16   Spondylosis With Myelopathy
M51.26   Displacement of Lumbar Intervertebral Disc Without Myelopathy
M51.27   Displacement of Lumbosacral Intervertebral Disc Without Myelopathy
M51.36   Degeneration of Lumbar Intervertebral Disc
M51.37   Degeneration of Lumbosacral Intervertebral Disc
M51.06   Intervertebral Disc Disorder with Myelopathy Lumbar Region
M96.1     Postlaminectomy Syndrome of Lumbar Region
M46.47   Discitis, unspecified, lumbosacral region
M51.86   Other Intervertebral Disc Disorders, Lumbar Region
M51.87   Other Intervertebral Disc Disorders, Lumbosacral Region
M48.06   Spinal Stenosis, Lumbar Region
M54.5     Low Back Pain
M54.3     Sciatica
M54.16   Radiculopathy, Lumbar Region
M54.17   Radiculpoathy, Lumbosacral Region
M43.00   Spondylolysis, Unspecified Region
M43.10   Spondylolisthesis, Unspecified Region