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Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical PolicyMedium impact

Durable Medical Equipment (DME)

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Durable medical equipment is covered only when a physician prescribes it, it does not serve as a comfort or convenience item, and it meets the policy's medical necessity criteria. Rental-only codes are paid for limited rental months: unlimited for E0465-E0467, 36 months for E0424, E0431, E0433, E0434, E0439, E0500, E1390-E1392, E1405-E1406 and K0738, 15 months for B9002, B9004 and B9006, and 13 months for all other CMS rental-only codes. When the rental months are met, ownership of the equipment passes to the member. Environmental control devices, home and vehicle modifications, computer software and hardware, and items for personal hygiene, comfort or convenience are excluded, and hot tubs, swimming pools, whirlpools, lift chairs and air purifiers receive no benefits.

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What to do

Action · 9 steps
01Billing team: Bill DME only when a physician prescribes it and it does not serve as a comfort or convenience item.
02Billing team: Rental of RR codes with defined rental months may not exceed the months in the policy table.
03Billing team: For rentals that are not classified as Rental Only, benefits are based on the rental Allowable Charge, not to exceed the purchase Allowable Charge.
04Billing team: Include set up or instruction charges in the rental or purchase allowance, and treat accessories and medical supplies needed for covered DME as part of that allowance.
05Billing team: Do not bill for repair, adjustment or replacement of components during a rental, because that is the responsibility of the DME supplier.
06Billing team: Repair, adjustment or replacement of purchased DME is covered only within a reasonable time of purchase and subject to the equipment's lifetime expectancy.
07Billing team: Certain DME requires periodic re-certification during use to evaluate continued medical necessity.
08Billing team: No benefits are provided for DME used in Home Infusion Therapy unless the member's Schedule of Benefits specifies it, for equipment where a commonly available supply or appliance can substitute, or for construction costs to the member's residence.
09BCBSMS makes no payment for services, equipment or supplies that are not documented to be Medically Necessary.

Codes mentioned

E0465E0467E0424E0431E0433E0434E0439E0500E1390E1392E1405E1406K0738B9002B9004B9006E0784

Original notice

Durable Medical Equipment (DME)
bcbsms.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross & Blue Shield of Mississippi changes →
OxygenMediumNo effective date · Medical PolicyBrowse every Blue Cross & Blue Shield of Mississippi change in the policy list

Related policy hubs

Blue Cross & Blue Shield of Mississippi policiesCode E0465Code E0467Code E0424Code E0431Code E0433Code E0434Code E0439Code E0500Code E1390Code E1392Code E1405Code E1406Code K0738Code B9002Code B9004Code B9006Code E0784

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