Peripheral & Cranial Nerve Stimulation

81.5-18.5%All 63.3 -36.7%

Deep-brain stimulators have to drill through the skull, carry real risk, and grow slowly. But there's a smarter side — instead of going all the way into the brain, it taps the nervous system's "cables" as they pass through the neck, under the tongue, or in the pelvis. Easier to operate, lower risk, and it opens the door to diseases that millions of people have. The rising star is the hypoglossal-nerve stimulator that treats sleep apnea — already over $900 million a year in revenue. And in 2025, a single vagus nerve was approved by the FDA to treat rheumatoid arthritis for the first time, opening the era of "bioelectronic medicine."

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Peripheral & Cranial Nerve Stimulation▲2

Humana Covers BlueWind Tibial Neuromodulation Across 11 Million Medicare Advantage Members

BlueWind Medical announced in early October 2026 that Humana has begun covering implantable tibial neuromodulation therapy for urgency urinary incontinence, including BlueWind's Revi System, across its Medicare Advantage membership of about 11 million enrollees. The coverage decision is backed by multi-year OASIS clinical data and a new AMA Category I CPT code for subfascial tibial neuromodulation. The move comes as Humana's 2027 Star Ratings improved sharply, with 95% of members in 4 star or higher plans, a shift the company's margin-recovery story leans on heavily. Humana's narrative projects $185.9 billion in revenue and $3.4 billion in earnings by 2029, requiring 8.5% yearly revenue growth and a $2.1 billion earnings increase from $1.3 billion today, with a fair value estimate of $430.70. The BlueWind coverage news itself is helpful but not a primary catalyst, while tighter oversight of diagnosis coding remains the biggest near-term risk.
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Brain-Computer Interface › Neuromodulation & Closed-Loop Neurostimulation ▲Demand
Brain-Computer Interface › Peripheral & Cranial Nerve Stimulation ▲Demand
BlueWind Medical · Demand · Positive Humana's coverage decision makes BlueWind's Revi System reimbursable for ~11 million Medicare Advantage enrollees, driving adoption of its product.
HUM · Regulation · Positive Humana began covering implantable tibial neuromodulation (BlueWind's Revi System) across its ~11 million Medicare Advantage members, expanding covered benefits.
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United States
Peripheral & Cranial Nerve Stimulation▲2

Inspire Medical Systems Wins Category I CPT Codes for Inspire V

Inspire Medical Systems announced in October 2026 that the AMA CPT Editorial Panel approved new Category I CPT codes specifically covering the Inspire V system, with the codes set to take effect on January 1, 2028 and to guide future Medicare payment determinations. The coding milestone signals growing clinical acceptance of Inspire's closed-loop implantable therapy for obstructive sleep apnea and sets the stage for more standardized reimbursement across payers. The approval ties directly into the proposed 2027 Medicare facility reimbursement rates for Inspire V, which point to higher payments for hospitals and ASCs alongside a modest cut to physician fees. Inspire Medical Systems' narrative projects $991.6 million in revenue and $74.2 million in earnings by 2029, requiring 3.3% yearly revenue growth and a $60.8 million earnings decrease from $135.0 million today, while some analysts assume revenue grows only about 1.8% annually and earnings fall toward roughly US$29.0 million. The company's biggest immediate risk remains that ongoing coding education and WISeR disruption keep weighing on revenue and margins longer than expected.
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Brain-Computer Interface › Peripheral & Cranial Nerve Stimulation ▲Pricing
Brain-Computer Interface › Neuromodulation & Closed-Loop Neurostimulation ▲Pricing
INSP · Regulation · Positive AMA CPT Editorial Panel approved new Category I CPT codes for the Inspire V system, standardizing reimbursement and signaling clinical acceptance.
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United States
Peripheral & Cranial Nerve Stimulation

Medtronic Wins Category I CPT Codes for Altaviva and Symplicity Spyral

Medtronic announced that the American Medical Association has approved new Category I Current Procedural Terminology codes for two of its technologies, the Altaviva implantable tibial neuromodulation device for urge urinary incontinence and the Symplicity Spyral renal denervation system for uncontrolled hypertension. The new codes, which replace existing Category III codes, take effect in January 2028. Category I codes are permanent codes assigned to procedures the AMA deems well established, widely performed across the United States, and supported by robust clinical evidence, and while they can help support physician payment and inform commercial payer coverage decisions, they do not determine coverage, reimbursement, clinical superiority, or patient access. The Altaviva device was approved by the U.S. Food and Drug Administration in September 2025 for urge urinary incontinence, a condition affecting 16 million adults in the United States, and is placed under the skin near the ankle in a minimally invasive procedure. The Symplicity Spyral system was finalized for Medicare coverage in October 2025, and Medtronic said its SPYRAL HTN global clinical program is the most comprehensive studying renal denervation, with more than 5,000 patients and experience in over 40,000 patients globally.
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Brain-Computer Interface › Neuromodulation & Closed-Loop Neurostimulation ▲Regulation
Aging Population › Medical Devices for the Aging Body ▲Regulation
Brain-Computer Interface › Peripheral & Cranial Nerve Stimulation Regulation
MDT · Regulation · Positive AMA approved permanent Category I CPT codes for Medtronic's Altaviva and Symplicity Spyral devices, supporting physician payment and payer coverage.
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IrelandUnited States
Peripheral & Cranial Nerve Stimulation

Neuromod Appoints Joe Ghiz as Chief Commercial Officer, Shannon Basham as VP of Channel Development

Neuromod Devices has announced the appointment of Joe Ghiz as Chief Commercial Officer and Shannon Basham as VP of Channel Development. Ghiz joins Neuromod's senior management team and will lead the company's global commercial function as it continues to strengthen its position as the category creator in tinnitus care, with CEO Dr. Ross O'Neill citing robust clinical evidence, global regulatory approval, and broad commercial adoption as positioning the company for rapid scaling to address the needs of 740 million tinnitus sufferers worldwide. Ghiz joins from Align Technology, the company behind Invisalign, where he helped create and scale the clear aligner category and built a $10 billion company, and previously spent over a decade at Johnson & Johnson Vision Care in leadership roles spanning sales, marketing, and business development. Basham brings more than 20 years of experience in the hearing care industry, having most recently served as Senior Director of Audiology for Sonova Group in the United States of America, where she was the market-facing head of audiology for the Phonak and Unitron wholesale businesses. The appointments support Neuromod's goal of positioning its non-invasive bimodal neuromodulation tinnitus treatment device, Lenire, as a new standard of care in ENT and audiology practices.
About megatrends
Aging Population › Hearing / Vision / Dental ▲Talent
Brain-Computer Interface › Peripheral & Cranial Nerve Stimulation Talent
Neuromod Devices · Demand · Positive Neuromod adds senior commercial and channel leaders to scale adoption of its Lenire tinnitus treatment device globally.
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PR Newswire·10dRead more →
Peripheral & Cranial Nerve Stimulation sits inside the Brain-Computer Interface value chain — highlighted below.
Implantable Neural Electrodes & Sensing ComponentsITGRNMTC
Neuromodulation & Closed-Loop NeurostimulationABTMDTBSX
Deep Brain & Spinal Cord Stimulation (incumbents)GMED
Responsive / Closed-Loop Neural DevicesNPCE
Peripheral & Cranial Nerve StimulationLIVNINSPMOBIHSDT+3
Non-invasive BCI & NeurotechSTIMWLDS
Neural Signal Processing & Brain-Mapping ToolsBRKRShanghai 2345…NEUROPHET, Inc.

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