CommercialCoverageMedium impact
05.00.44s, Repair and Replacement of Durable Medical Equipment (DME) and Prosthetic Devices
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), General Practice +1 more·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 19, 2026
Summary
The policy 05.00.44s regarding repair and replacement of Durable Medical Equipment (DME) and prosthetic devices has been updated for commercial plans. This is a very recent change that will take effect April 1, 2025, and may impact billing procedures for DME repairs and prosthetic device replacements.
Action Required
By April 1, 2025: Billing team must review the complete updated policy 05.00.44s for DME repair and replacement procedures at the source URL. Update billing procedures and documentation requirements for durable medical equipment repairs and prosthetic device replacements according to new commercial policy guidelines. Verify any changes to coverage criteria or prior authorization requirements.