Continuous Passive Motion (CPM) machines
Medicare Coverage Information
Overview
Medicare may provide limited coverage for Continuous Passive Motion (CPM) machines when they are deemed medically necessary for specific post-surgical rehabilitation purposes. Coverage typically requires a doctor's prescription and meets strict medical necessity criteria.
- CPM machines may be covered under Medicare Part B as durable medical equipment
- Must be prescribed by a Medicare-approved healthcare provider
- Typically used after joint surgeries like knee replacements
- Coverage is limited and requires documented medical necessity
- May require prior authorization from Medicare
- Medicare Part B beneficiaries
- Patients with specific post-surgical rehabilitation needs
- Must have a qualifying medical condition and doctor's prescription
- Beneficiaries typically pay 20% of the Medicare-approved amount after meeting the Part B deductible
- Rental of CPM machine may be covered for a limited time period
- Actual out-of-pocket costs can vary depending on specific Medicare plan
- Not covered for all patients or all surgical procedures
- Must be prescribed as medically necessary by a healthcare provider
- Limited duration of coverage (usually short-term post-surgical use)
- May require documentation proving medical necessity
- Consult with your healthcare provider about medical necessity
- Get a detailed prescription specifying CPM machine requirements
- Contact Medicare or your Medicare Advantage plan for specific coverage details
- Verify coverage and potential out-of-pocket costs before obtaining the equipment
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- MedicareCPM machinesmedical equipment coveragepost-surgical rehabilitationdurable medical equipment
Related Coverage Topics
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