E0739, Rehabilitation system with interactive interface providing active assistance inHCPCS/CPT
Prior Auth Required
Code explicitly requires prior authorization (high confidence)
ANTHEM-DME.00053, Home Video-Assisted Robotic Rehabilitation Systems
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
BCBSIL-DME103.008, Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities
BCBSMT-DME103.008, Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities
BCBSNM-DME103.008, Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities
BCBSOK-DME103.008, Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities
REGENCE-DME89, Powered Exoskeleton for Ambulation and Rehabilitation
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