CMS Forms

Form #
CMS 848
Form Title
Certificate of Medical Necessity - Transcutaneous Electrical Nerve Stimulator (TENS) - DME 06.03B
Revision Date
09/30/2005
O.M.B. #
0938-0679
O.M.B. Expiration Date
10/31/2012
CMS Manual
N/A
Special Instructions
This form must be used starting January 1, 2007.