E0738, Upper extremity rehabilitation system providing active assistance to facilitateHCPCS/CPT
Prior Auth Required
Code explicitly requires prior authorization (high confidence)
ANTHEM-DME.00052, Brain Computer Interface Rehabilitation Devices
EVICORE-HPLAN-CIGNA-3C6BF790C032, Cigna Commercial DME Code List - Effective 03/07/2026
EVICORE-HPLAN-CIGNA-AFCE721BA4F3, Cigna Comprehensive Code List - Effective 03/07/2026
EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025
AMBETTER-CP.MP.107, Durable Medical Equipment and Orthotics and Prosthetics Guidelines
REGENCE-DME94, Upper Extremity Rehabilitation System with Brain-Computer Interface
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