Payer PolicyActive
DME.00046 Intermittent Abdominal Pressure Ventilation Devices
ANTHEM-DME.00046
Anthem
Effective: July 1, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses intermittent abdominal pressure ventilation (IAPV) devices, a noninvasive respiratory support using a corset/belt that cyclically compresses the abdomen to assist ventilation. IAPV devices are considered investigational and not medically necessary; therefore, they are not covered for any indication. This noncoverage applies to all uses and settings, with related codes including A4468 and K1021.
Coverage Criteria Preview
Key requirements from the full policy
"Intermittent abdominal pressure ventilation devices are consideredinvestigational and not medically necessaryfor all indications."
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