CommercialCoverageMedium impact
Airway Clearance Devices 1.01.15
Excellus BlueCross BlueShield·Pulmonology·Lungs (Respiratory)
Effective date
Mar 16, 2026
We identified it
Jun 20, 2026
Summary
Excellus BlueCross BlueShield updated their airway clearance devices policy effective March 16, 2026, establishing specific coverage criteria for high frequency chest wall compression devices, intrapulmonary percussive ventilation devices, and mechanical insufflation-exsufflation devices. The policy requires pulmonologist referrals and prior authorization for coverage, with detailed documentation requirements for each device type.
Action Required
Before March 16, 2026: Billing team must ensure all airway clearance device claims include pulmonologist referrals and meet the specific coverage criteria outlined in the policy. Update prior authorization workflows to verify patients meet ALL required criteria including documented diagnosis, demonstrated need, and failure of standard treatments. Review DME repair and replacement documentation requirements to include manufacturer warranty information and physician attestation of patient compliance.