Prosthetics & Orthotics policy updates
Track new and updated Prosthetics & Orthotics policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Powered Lower‑Limb Exoskeletons for Ambulation | Blue Cross Blue Shield - Massachusetts | Clinical | Prosthetics & Orthotics | Modified | May 1, 2015 |
| Powered Lower-Limb Exoskeletons for Ambulation | Blue Cross Blue Shield - Massachusetts | Clinical | Prosthetics & Orthotics | Modified | May 1, 2015 |
| Myoelectric Upper-Limb Prosthetic Components | Blue Cross Blue Shield - Massachusetts | Clinical | Prosthetics & Orthotics | Modified | Sep 1, 2010 |
| Myoelectric Upper-Limb Prosthetic Components — Coverage and Medical Necessity | Blue Cross Blue Shield - Massachusetts | Clinical | Prosthetics & Orthotics | Modified | Sep 1, 2010 |
| Myoelectric Prosthetic and Orthotic Components for the Upper Limb | Blue Cross Blue Shield - Massachusetts | Clinical | Prosthetics & Orthotics | Modified | — |
| Microprocessor-Controlled Prostheses for the Lower Limb | Blue Cross Blue Shield - Massachusetts | Clinical | Prosthetics & Orthotics | Modified | — |
| Microprocessor-Controlled and Powered Lower-Extremity Prosthetic Components | Blue Cross Blue Shield - Massachusetts | Clinical | Prosthetics & Orthotics | Modified | — |
| Microprocessor-Controlled Knee and Powered/ Microprocessor Ankle-Foot Prostheses — Coverage Criteria | Blue Cross Blue Shield - Massachusetts | Clinical | Prosthetics & Orthotics | Modified | — |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.