New Durable Medical Equipment reimbursement policies: Rent to Purchase and Modifiers (Professional)

Beginning with dates of service on or after March 1, 2020, 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 about these new policies, visit the Reimbursement Policy page at anthem.com/provider.