Durable Medical Equipment Section
Definitive Lower Limb Prostheses
Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment
Electrical Bone Growth Stimulators (Osteogenic Stimulation)
Policy Version Effective 03/01/2023: Electrical Bone Growth Stimulators (Osteogenic Stimulation)
09/01/2022
General Medical Necessity Guidance for Durable Medical Equipment, Prosthetic, Orthotics and Supplies (DMEPOS)
Insulin Infusion Pumps, Automated Insulin Delivery and Artificial Pancreas Device Systems
Interferential Current Stimulation
Myoelectric Prosthetic and Orthotic Components for the Upper Limb
Noninvasive Ventilators in the Home Setting
Power Wheelchairs: Group 3
Powered and Microprocessor-Controlled Knee and Ankle-Foot Prostheses and Microprocessor-Controlled Knee-Ankle-Foot Orthoses
Ultrasonic Bone Growth Stimulators (Osteogenic Stimulation)