All PlansCoverageMedium impact
Durable Medical Equipment (DME)
Blue Cross & Blue Shield of Mississippi·MS·Medical Policy
We identified it
Jun 20, 2026
Summary
This is a comprehensive DME policy update that establishes rental time limits, equipment ownership transfer rules, and specific coverage criteria. The policy includes detailed rental-only code categories with varying time limits (unlimited, 36, 15, and 13 months) and clarifies when equipment ownership transfers to patients.
Action Required
Immediately: Billing team must update DME billing procedures to track rental months for specific HCPCS codes and ensure proper documentation of medical necessity. Update billing system to flag when rental limits are reached and ownership transfers to patient. Train staff on the four rental categories: unlimited (E0465-E0467), 36 months (E0424, E0431, E0433, E0434, E0439, E0500, E1390-E1392, E1405-E1406, K0738), 15 months (B9002, B9004, B9006), and 13 months (all other CMS rental-only codes). Exception: E0784 can be billed as purchase or rental.