Medicare may cover a knee CPM for total knee replacement if:

  1. it is your first replacement on that knee (not a revision/MUA), and
  2. CPM starts within 48 hours of surgery, and
  3. use is within the covered period (often up to 21 days from first use).
    Coverage rules can vary and change over time. Other devices (for example, pneumatic compression) may be covered with specific documentation. For help verifying coverage and documentation, call 1-877-301-4276. Authorization and eligibility determinations are made by Medicare and are not guaranteed by pre-approval.

Unfortunately, Medicare will not pay for other CPM's or even a Knee CPM for surgeries other than the Total Knee Replacement.  Other machines, such as Pneumatic Compression Devices, we have limited success getting Medicare to cover them.  There are many rules and documentation regulations to be fulfilled for coverage to happen, but, if you would like us to try, we certainly will.  We recommend you call one of our Patient Care Representatives if you have any other questions at 1-877-301-4276.

 

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