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Continuous passive motion devices
March 3, 2022

This article is for durable medical equipment suppliers.

Blue Cross covers continuous passive motion devices as described in Continuous Passive Motion in the Home Setting Medical Policy 407.

As a reminder, the medical policy describes conditions that must be met for the device to be covered for our commercial and Medicare Advantage members.

Payment policy application

  • Enforcement of this medical policy occurs through system edits and post-payment reviews.
  • We continually expand our ability to process claims in accordance with this policy pre-payment, which will reduce the number of claims we review post-payment.


The included codes and diagnoses are listed in the medical policy, which will be updated on our website on April 1.