Medical Policies Durable Equipment

Ambulatory Devices Commercial - Durable Medical Equipment 40

Ambulatory Devices Medicaid - Durable Medical Equipment 40

Augmentative Communication and Speech Generating Systems Commercial - Durable Medical Equipment 30

Augmentative Communication and Speech Generating Systems Medicaid- Durable Medical Equipment 30

Automated External Defibrillators (AED) Commercial - Durable Medical Equipment 63

Automated External Defibrillators (AED) Medicaid - Durable Medical Equipment 63

Compression Stockings and Garments Commercial - Durable Medical Equipment 04

Compression Stockings and Garments Medicaid - Durable Medical Equipment 04

Continuous Glucose Monitoring Systems Commercial - Durable Medical Equipment 10

Continuous Glucose Monitoring Systems Medicaid - Durable Medical Equipment 10

Continuous Passive Motion Commercial - Durable Medical Equipment 27

Continuous Passive Motion Medicaid - Durable Medical Equipment 27

Cranial Electrotherapy Stimulation Commercial - Durable Medical Equipment

Cranial Electrotherapy Stimulation Medicaid - Durable Medical Equipment 59

Cranial Electrotherapy Stimulation Medicare - Durable Medical Equipment 59

Diabetic Shoes Commercial - Durable Medical Equipment 20

Diabetic Shoes Medicaid - Durable Medical Equipment 20

Diapers and Underpads Medicaid - Durable Medical Equipment 246

Electric and Electromagnetic and Ultrasonic Bone Growth Stimulation Commercial - Durable Medical Equipment 09

Electric and Electromagnetic and Ultrasonic Bone Growth Stimulation Medicaid - Durable Medical Equipment 09

Electric Stimulation Commercial - Durable Medical Equipment 07

Electric Stimulation Medicaid - Durable Medical Equipment 07

Electrical Stimulation and Electromagnetic Therapy for Wounds Commercial - Durable Medical Equipment 01

Electrical Stimulation and Electromagnetic Therapy for Wounds Medicaid - Durable Medical Equipment 01

External Insulin Infusion Pump Commercial - Durable Medical Equipment 11

External Insulin Infusion Pump Medicaid - Durable Medical Equipment 11

Foot Orthotics Commercial - Durable Medical Equipment 64

Foot Orthotics Medicaid - Durable Medical Equipment 64

High Frequency Chest Wall Compression Commercial - Durable Medical Equipment 14

High Frequency Chest Wall Compression Medicaid - Durable Medical Equipment 14

Home Spirometry Commercial - Durable Medical Equipment 23

Home Spirometry Medicaid - Durable Medical Equipment 23

Home Traction Devices Commercial - Durable Medical Equipment 35

Home Traction Devices Medicaid - Durable Medical Equipment 35

Home Visual Field Monitoring Device Commercial - Durable Medical Equipment 62

Home Visual Field Monitoring Device Medicaid - Durable Medical Equipment 62

Home Visual Field Monitoring Device Medicare - Durable Medical Equipment 62

Hospital Beds and Accessories Commercial - Durable Medical Equipment 03

Hospital Beds and Accessories Medicaid - Durable Medical Equipment 03

Infant Home Apnea Monitor Commercial - Durable Medical Equipment 22

Infant Home Apnea Monitor Medicaid - Durable Medical Equipment 22

Intra-Oral Appliances and Splints for Temporomandibular Joint (TMJ) Syndrome Commercial - Durable Medical Equipment 222

Intra-Oral Appliances and Splints for Temporomandibular Joint (TMJ) Syndrome Medicaid - Durable Medical Equipment 222

Intra-Oral Appliances and Splints for Temporomandibular Joint (TMJ) Syndrome Medicare - Durable Medical Equipment 222

Iontophoresis Treatment for Hyperhidrosis Commercial - Durable Medical Equipment 32

Iontophoresis Treatment for Hyperhidrosis Medicaid - Durable Medical Equipment 32

Iontophoresis Treatment for Hyperhidrosis Medicare - Durable Medical Equipment 32

Jaw Motion Rehabilitation Systems Commercial - Durable Medical Equipment 43

Jaw Motion Rehabilitation Systems Medicaid - Durable Medical Equipment 43

Jaw Motion Rehabilitation Systems Medicare - Durable Medical Equipment 43

Low-Intensity Therapeutic Ultrasound (LITUS) Devices Commercial - Durable Medical Equipment 55

Low-Intensity Therapeutic Ultrasound (LITUS) Devices Medicaid - Durable Medical Equipment 55

Low-Intensity Therapeutic Ultrasound (LITUS) Devices Medicare - Durable Medical Equipment 55

Lymphedema Pump for Head and Neck Commercial - Durable Medical Equipment 245

Lymphedema Pump for Head and Neck Medicaid - Durable Medical Equipment 245

Mastectomy Garments Commercial - Durable Medical Equipment 240

Mastectomy Garments Medicaid - Durable Medical Equipment 240

Medical Car Seats Medicare - Durable Medical Equipment 58

Miscellaneous Assistive Devices for Home Use Commercial - Durable Medical Equipment 34

Miscellaneous Assistive Devices for Home Use Medicaid - Durable Medical Equipment 34

Miscellaneous Orthotics and Braces Commercial - Durable Medical Equipment 251

Needleless Injection Commercial - Durable Medical Equipment 26

Needleless Injection Medicaid - Durable Medical Equipment 26

Negative Pressure Wound Vac Commercial - Durable Medical Equipment 241

Negative Pressure Wound Vac Medicaid - Durable Medical Equipment 241

Neuromuscular Electrical Stimulator and Functional Electrical Stimulators Commercial - Durable Medical Equipment 17

Neuromuscular Electrical Stimulator and Functional Electrical Stimulators Medicaid - Durable Medical Equipment 17

Non-Surgical Eyelid Weights Commercial - Durable Medical Equipment 61

Non-Surgical Eyelid Weights Medicaid - Durable Medical Equipment 61

Non-Surgical Eyelid Weights Medicare - Durable Medical Equipment 61

Obstructive Sleep Apnea Oral Devices Commercial - Durable Medical Equipment 250

Obstructive Sleep Apnea Oral Devices Medicaid - Durable Medical Equipment 250

Obstructive Sleep Apnea Oral Devices Medicare - Durable Medical Equipment 250

Pads with Circulating Liquid for Pain Relief Commercial - Durable Medical Equipment 242

Pads with Circulating Liquid for Pain Relief Medicaid - Durable Medical Equipment 242

Pneumatic Compression of the Chest or Trunk Commercial - Durable Medical Equipment 53

Pneumatic Compression of the Chest or Trunk Medicaid - Durable Medical Equipment 53

Postural Support Seat Medicare - Durable Medical Equipment 56

Prosthetic Devices Commercial - Durable Medical Equipment 21

Prosthetic Devices Medicaid - Durable Medical Equipment 21

Scalp Cooling During Chemotherapy Commercial - Durable Medical Equipment 249

Scalp Cooling During Chemotherapy Medicaid - Durable Medical Equipment 249

Second (Back up) Ventilator Medicaid - Durable Medical Equipment 51

Second (Back up) Ventilator Commercial - Durable Medical Equipment 51

Specialized Supportive Seating and Medical Car Seats Commercial - Durable Medical Equipment 56

Specialized Supportive Seating and Medical Car Seats Medicaid - Durable Medical Equipment 56

Specialized Supportive Seating and Medical Car Seats Medicare - Durable Medical Equipment 56

Spinal Braces, Orthotics and Garments Commercial - Durable Medical Equipment 244

Spinal Braces, Orthotics and Garments Medicaid - Durable Medical Equipment 244

Standing Frames Commercial - Durable Medical Equipment 41

Standing Frames Medicaid - Durable Medical Equipment 41

Transfer Devices and Lifts Commercial - Durable Medical Equipment 42

Transfer Devices and Lifts Medicaid - Durable Medical Equipment 42

Ultraviolet Light Therapy System for Home Use Commercial - Durable Medical Equipment 60

Ultraviolet Light Therapy System for Home Use Medicaid - Durable Medical Equipment 60

Vertigo, Tinnitus, and Meniere’s Diagnosis Treatment Devices Commercial - Durable Medical Equipment 225

Vertigo, Tinnitus, and Meniere’s Diagnosis Treatment Devices Medicaid - Durable Medical Equipment 225

Vertigo, Tinnitus, and Meniere’s Diagnosis Treatment Devices Medicare - Durable Medical Equipment 225

Vitrectomy Face-Down Positioning System Commercial - Durable Medical Equipment 33

Vitrectomy Face-Down Positioning System Medicaid - Durable Medical Equipment 33

Vitrectomy Face-Down Positioning System Medicare - Durable Medical Equipment 33

Wearable External Cardioverter Defibrillators Commercial - Durable Medical Equipment 24

Wearable External Cardioverter Defibrillators Medicaid - Durable Medical Equipment 24

Wheelchairs, Power Motorized Devices, Motorized Scooters and Accessories Commercial - Durable Medical Equipment 28

Wheelchairs, Power Motorized Devices, Motorized Scooters and Accessories Medicaid - Durable Medical Equipment 28