US · guidance
CMS Pub. 100-04, ch. 20, § 30.2.1
Daily Payment for Continuous Passive Motion (CPM) Devices
The CPM devices (HCPCS code E0935) are classified as items requiring frequent and
substantial servicing and are covered as DME as follows (see the Medicare National
Coverage Determinations Manual.):
• Continuous passive motion devices are covered for patients who have received a
total knee replacement. To qualify for coverage, use of the device must
commence within 2 days following surgery. In addition, coverage is limited to
that portion of the 3 week period following surgery during which the device is
used in the patient's home.
MACs make payment for each day that the device is used in the patient's home. No
payment can be made for the device when the device is not used in the patient's home or
once the 21 day period has elapsed. Since it is possible for a patient to receive CPM
services in their home on the date that they are discharged from the hospital, this date
counts as the first day of the three week limited coverage period.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
eca2124c5046e2ff115af7fd3279308352d9c774a5cded23b9477f277831a506
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