10 commercial payer policies list E0677. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
Free account. Policy pages stay open to everyone.
10 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of E0677 |
|---|---|---|
| Cigna Commercial DME Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Compression Devices | May 15, 2026 | Not covered |
| Policy | Effective | Status of E0677 |
|---|---|---|
| Compression Devices for Lymphedema | Jan 6, 2026 | Covered |
| Policy | Effective | Status of E0677 |
|---|---|---|
| Jan 1, 2026 |
| Covered |
| Policy | Effective | Status of E0677 |
|---|---|---|
| Compression Pumps for Treatment of Lymphedema and Venous Ulcers | Jan 1, 2026 | Covered |
| Policy | Effective | Status of E0677 |
|---|---|---|
| Compression Pumps for Treatment of Lymphedema and Venous Ulcers | Jan 1, 2026 | Covered |
| Policy | Effective | Status of E0677 |
|---|---|---|
| Compression Pumps for Treatment of Lymphedema and Venous Ulcers | Jan 1, 2026 | Covered |
| Policy | Effective | Status of E0677 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of E0677 |
|---|---|---|
| Lymphedema - Diagnosis and Treatment | Jul 1, 2026 | Not covered |