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Continuous Passive Motion will be Considered Not Medically Necessary Beginning Dec. 28, 2020
Medical Mutual of Ohio·Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy·In the News
Effective date
Dec 28, 2020
We identified it
Jun 20, 2026
Summary
Medical Mutual will consider continuous passive motion (CPM) exercise devices not medically necessary starting December 28, 2020, adopting MCG Care Guidelines. This means CPM services will no longer be eligible for reimbursement from Medical Mutual.
Action Required
By December 28, 2020: Billing team must stop submitting claims to Medical Mutual for continuous passive motion (CPM) device services as they will be denied as not medically necessary. Update billing system to flag CPM claims for Medical Mutual. Inform providers that CPM is no longer covered by Medical Mutual and discuss alternative treatments with patients.