General Medical Necessity Guidance for Durable Medical Equipment, Prosthetic, Orthotics and Supplies (DMEPOS)

Regence BCBS · PayerPolicy · REGENCE-DME88

Summary of the payer’s published policy. Not a coverage determination — confirm with Regence BCBS before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
E1399	HCPCS	Covered
K0108	HCPCS	Covered