Continuous Passive Motion (CPM) Devices - (0198)

Cigna considers Continuous Passive Motion (CPM) devices — including HCPCS E0935 (knee) and E0936 (non‑knee) — not medically necessary for any indication and therefore excluded from coverage and reimbursement. Claims using these codes will be denied (no specific medical‑record documentation can authorize coverage), unless a controlling federal/state mandate or the customer's benefit plan document overrides this policy.

"None. Exact policy statement: "The use of a continuous passive motion (CPM) device is considered not medically necessary for ANY indication."

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