Remember to follow the medical criteria guidelines when dispensing limb compression devices

If the patient is at high risk for venous thromboembolism prophylaxis, we’ll consider these devices for reimbursement if the following key medical criteria guidelines are met.

DME providers:

• Don’t consign and dispense limb compression devices from ambulatory facilities to patients who don’t meet the medical criteria (procedure codes E0650-E0676).
• Never submit claims for equipment or supplies used in ambulatory surgery facilities.
• You can bill items provided in an ambulatory facility for the patient’s home use.

Ambulatory surgical facility providers:

• Never submit separate claims for DME or prosthetic and orthotic items provided while in your facility. These items are part of your facility fee.
• Items you’ve provided to patients for home use must be billed by the participating DME providers.

Refer to Blue Cross Blue Shield of Michigan medical policy for more details about coverage and medical criteria.