A4560: Neuromuscular electrical stimulator (nmes), disposable, replacement only
A4560 is a HCPCS Level II code for neuromuscular electrical stimulator (nmes), disposable, replacement only. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Medicare does not pay it: see the coverage note below before you bill it.
Medicare coverage: Non-covered by statute
Excluded from coverage by the Social Security Act itself, not by a policy decision. No documentation and no appeal changes this one: an ABN is the relevant conversation.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusN
Non-covered service. Medicare does not cover it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits: units per day
The most units of A4560 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 1 unit MAI 3: Date of Service Edit: Clinical · Nature of Equipment
- outpatient
- 1 unit MAI 3: Date of Service Edit: Clinical · Nature of Equipment
- DME supplier
- 0, never payable MAI 3: Date of Service Edit: Clinical · Nature of Equipment
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for A4560
- Long descriptor
- Neuromuscular electrical stimulator (nmes), disposable, replacement only
- Short descriptor
- Nmes disposable
- Added
- April 1, 2023
- BETOS
- Z2
- Pricing indicator
- 00: Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Service not separately priced by Part B, not covered, bundled into another service, or used by Part A only.
Codes adjacent to A4560
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If A4560 is not quite right, the correct code is very often within a few positions of it.
- A4550Surgical trays
- A4553Non-disposable underpads, all sizes
- A4554Disposable underpads, all sizes
- A4555Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
- A4556Electrodes, (e.g., apnea monitor), per pair
- A4557Lead wires, (e.g., apnea monitor), per pair
- A4558Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz
- A4559Coupling gel or paste, for use with ultrasound device, per oz
- A4561Pessary, reusable, rubber, any type
- A4562Pessary, reusable, non rubber, any type
- A4563Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
- A4564Pessary, disposable, any type
- A4565Slings
- A4566Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment
- A4570Splint
- A4575Topical hyperbaric oxygen chamber, disposable