CommercialBilling CodesMedium impact
05.00.21ai, Durable Medical Equipment (DME) and Consumable Medical Supplies
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +4 more·Medical Policy
Effective date
Nov 10, 2025
We identified it
Jun 19, 2026
Summary
This is a medical coding and informational update to the Durable Medical Equipment (DME) and Consumable Medical Supplies policy for commercial plans. The update includes changes to general descriptions, guidelines, or informational content related to DME billing and coverage.
Action Required
By November 10, 2025: Billing team must review the updated DME policy 05.00.21ai at the provided URL to understand changes to coding guidelines and informational requirements. Update billing procedures and staff training materials to reflect any new DME coding or documentation requirements.