Payer PolicyActive
DME.00052 Brain Computer Interface Rehabilitation Devices
ANTHEM-DME.00052
Anthem
Effective: October 1, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses brain-computer interface (BCI) rehabilitation devices, including EEG-driven upper extremity powered exercisers (e.g., IpsiHand) used for post-stroke motor recovery. Anthem deems these devices investigational and not medically necessary for any indication; therefore, they are not covered (e.g., HCPCS E0738). No coverage exceptions or patient selection criteria apply, irrespective of FDA de novo classification.
Coverage Criteria Preview
Key requirements from the full policy
"Brain computer interface rehabilitation devices, including but not limited to electroencephalography (EEG)-driven upper extremity powered exercisers, are consideredinvestigational and not medically..."
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