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Coding and Payor Coverage
CPM is covered by Medicare for 21 days under the HCPC code E0935 for the indications of
total knee replacement and revision only. The CPM device must be initiated within 48 hours
of the procedure in order to qualify for coverage under Medicare Part A and B. Once the patient is
discharged to the home, CPM treatment is covered by Medicare Part B up to the 21st day following surgery.
For other payors, OrthoRehab is contracted with over 400 health plans for CPM, often for additional indications, using the same code. Although policies may differ in their coverage,
CPM is widely accepted and approved by most health and workers compensation plans.
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