New Reimbursement Policies (Professional): Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers

Beginning with dates of service on or after December 1, 2019, Anthem Blue Cross and Blue Shield (Anthem)’s current Durable Medical Equipment policy will be retired and will be replaced by the new Durable Medical Equipment - Rent to Purchase policy and the new Durable Medical Equipment - Modifiers policy.  The new Durable Medical Equipment - Rent to Purchase policy has the same reimbursement guidelines and requirements as the current Durable Medical Equipment policy. The new Durable Medical Equipment - Modifiers policy has the same reimbursement guidelines for DME Modifiers as the current Durable Medical Equipment policy.

 

For more information, view these policies online.  Go to anthem.com │ Providers │ Select Find Resources for Your State, and pick Colorado │ Under Provider Resources heading, select Policies and Guidelines │ Under Reimbursement Policies, select Access Policies, then select the title of the policy for your inquiry.