Durable Medical Equipment Table of Contents

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Durable Medical Equipment Section

Policy Name	Date Modified
Bioimpedance Devices for Detection of Lymphedema	09/01/2012
Continuous Monitoring of Glucose in the Interstitial Fluid	09/01/2012
Cooling Devices Used in the Home Setting	08/01/2012
Cranial Electrostimulation Therapy (CES)	02/01/2013
Electrical Bone Growth Stimulators (Osteogenic Stimulation)	12/01/2012
Electrical Stimulation Devices Index	12/01/2012
Electrostimulation and Electromagnetic Therapy for the Treatment of Wounds in the Home Setting	09/01/2012
Functional Neuromuscular Electrical Stimulation	02/01/2013
Galvanic Stimulation	02/01/2013
H-wave Stimulation	02/01/2013
Interferential Stimulation for Treatment of Pain Policy effective 9/1/2013: Interferential Current Stimulation	05/01/2013
Microcurrent Stimulation (MENS)	02/01/2013
Multi-Chamber Programmable Pneumatic Compression Pumps	09/01/2012
Myoelectric Prosthetic Components for the Upper Limb	12/01/2012
Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders	10/01/2012
Powered Knee Prosthesis, or Powered Ankle-Foot Prosthesis, and Microprocessor-Controlled Ankle-Foot Prosthesis	01/01/2013
Pulsed Electrical Stimulation for the Treatment of Arthritis	09/01/2012
Sympathetic Electrical Stimulation Therapy	09/01/2012
Threshold Electrical Stimulation as a Treatment of Motor Disorders	02/01/2013
Wearable Cardioverter-Defibrillators as a Bridge to Implantable Cardioverter-Defibrillator Placement	01/01/2013
Wheelchairs	01/01/2013


	The Blue Cross and/or Blue Shield Plans comprising The Regence Group serve Idaho, Oregon, Utah and much of Washington state. The Regence Group and each of its affiliate Plans are independent licensees of the Blue Cross and Blue Shield Association.