DME.00053 Home Video-Assisted Robotic Rehabilitation Systems

This policy addresses home video-assisted robotic rehabilitation systems (robotic devices combined with a computerized/video interface for home-based therapy; HCPCS E0739). Anthem considers these devices investigational and not medically necessary; therefore, they are not covered for any indication or diagnosis. There are no covered circumstances—home use is excluded for all conditions.

"Home video-assisted robotic rehabilitation systems are consideredinvestigational and not medically necessaryfor all indications."

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