CommercialCoverageMedium impact
Effective May 1, 2026, CPM device E0935 is covered for post-operative treatment only
BCBS Michigan·MI · Orthopedics, Physical Therapy·Provider News
Effective date
May 1, 2026
We identified it
Jun 16, 2026
Summary
Effective May 1, 2026, Blue Cross Blue Shield of Michigan and Blue Care Network will only cover CPM device E0935 for home use following knee surgeries, limited to the first three weeks post-operatively. Coverage is restricted to specific knee procedures including total knee arthroplasty and cartilage repair procedures.
Action Required
Before May 1, 2026: Billing team must update authorization protocols for HCPCS code E0935 to verify knee surgery preceded the CPM device request and ensure home use is within three weeks post-operatively. Update billing system to flag E0935 claims that don't meet surgical criteria for BCBS Michigan and Blue Care Network. Claims will be denied if surgical requirements aren't met.