Transcription of 1.01.529 Durable Medical Equipment - Premera Blue Cross
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1.01.529 Durable Medical Equipment - Premera Blue Cross
UTILIZATION MANAGEMENT GUIDELINE Durable Medical Equipment Effective Date: April 1, 2022 Last Revised: Mar. 21, 2022 Replaces: N/A RELATED Medical POLICIES: Wheelchairs (Manual or Motorized) Patient Lifts, Seat Lifts, and Standing Devices Durable Medical Equipment Repair/Replacement Power Operated Vehicles (Scooters) (Excluding Motorized Wheelchairs) Children s Therapeutic Positioning Equipment Non-covered Services and Procedures Select a hyperlink below to be directed to that section. COVERAGE GUIDELINES | DOCUMENTATION REQUIREMENTS RELATED INFORMATION | EVIDENCE REVIEW | REFERENCES | HISTORY Clicking this icon returns you to the hyperlinks menu above. Introduction Equipment that is used to help a patient heal from a certain Medical condition and/or illness is called Durable Medical Equipment .
Nov 01, 2021 · • First aid or precautionary equipment (eg, automatic external defibrillator [AED]) • Home modifications (eg, bath grab bars, electronic door openers, elevators, Jacuzzi/whirlpools, ramps) • Institutional equipment (eg, any DME that is used only in a medical facility and is not suitable for use in the home setting)
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