Is the ReBuilder Covered by Insurance?
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.
The ReBuilder qualifies fully for reimbursement under the code E0720. 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 days successfully, and then ask their physician for a prescription and a letter of medical necessity. The format for these forms are as follows;
Prescription:
ReBuilder, brand specific (no generic substitutions) for pain. DME code is E0720. FDA description is TENS.
Medical Necessity:
This device is medically necessary for the treatment of intractable pain unresponsive to drug, surgery, and/or physical therapy. Patient has responded well to this treatment.
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.
If we supported and represented patients directly with their ReBuilder purchase, the cost of the ReBuilder would have to be in excess of $1,400, so in order to make the ReBuilder available to more patients in pain, we have opted to sell the device directly to the patient, without any middleman at a wholesale price.
