Anthem Blue Cross Connecticut DME.00049 External Upper Limb Stimulation for the Treatment of Tremors Form

Effective Date

12/28/2023

Last Reviewed

08/10/2023

Original Document

  Reference



This document addresses a wrist-worn external upper limb tremor stimulator of the peripheral nerves. This non-pharmacological/non-surgical treatment option is proposed to aid in the temporary relief of essential tremor (also known as, familial essential tremor or hereditary tremor) of the hand as well as Parkinson’s disease.

Please see the following related document for additional information:

  • SURG.00026 Deep Brain, Cortical, and Cerebellar Stimulation

Position Statement

Investigational and Not Medically Necessary:

Wrist-worn external upper limb tremor stimulator is considered investigational and not medically necessary for all indications, including but not limited to the treatment of essential tremor of the hands and Parkinson’s disease.