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New PENS Procedure Codes Effective July 1, 2024, for the CSHCN Services Program

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Effective for dates of service on or after July 1, 2024, percutaneous electrical nerve stimulation (PENS) procedure codes 64596, 64597, and 64598 will be a benefit when services are provided in an inpatient or outpatient hospital setting by a physician provider.

Procedure codes 64596, 64597, and 64598 will require prior authorization beginning October 1, 2024.

Refer to the current CSHCN Services Program Provider Manual, section 27.2.4, “Percutaneous Electrical Nerve Stimulation (PENS),” for additional benefit information and prior authorization requirements that apply to all PENS services.

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.