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Percutaneous Tibial Nerve Stimulation denials: what the review data shows

Independent reviewers have decided 51 published cases where an insurer denied Percutaneous Tibial Nerve Stimulation — and they overturned the insurer 29.4% of the time. A denial for Percutaneous Tibial Nerve Stimulation is a starting position, not a final answer.

Published decisions
51
2001–2026
Overturned
29.4%
15 denials reversed

By condition

Published outcomes when Percutaneous Tibial Nerve Stimulation was denied for these conditions.
ConditionDecisionsOverturned
Overactive Bladder25
44%
How to use this in your appeal

These are outcomes from California’s external review program — an independent physician panel that binds the insurer. Every state has an equivalent process, and internal appeals succeed even more often. Cite the outcome record for Percutaneous Tibial Nerve Stimulationwhen you appeal: reviewers routinely find that denials like yours didn’t hold up.

SOURCE: CALIFORNIA DMHC INDEPENDENT MEDICAL REVIEW OUTCOMES (CHHS OPEN DATA) · DERIVED AGGREGATE STATISTICS ONLY · METHODOLOGY

Not legal or medical advice. Coverage Rights is a self-help tool that helps you prepare your own appeal. For advice about your specific situation, talk to a licensed attorney or your doctor.

Denied Percutaneous Tibial Nerve Stimulation? 29.4% got it reversed.

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