northwood policy updates
Track new and updated northwood policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Prefabricated and Custom Knee Orthoses (L18xx range) — Coverage Criteria and Coding Guidance | Northwood | Clinical | Prosthetics & Orthotics | Modified | Dec 11, 2025 |
| Powered exoskeleton orthosis (DMEPOS) coverage criteria | Northwood | Clinical | Durable Medical Equipment (DME) | Modified | Sep 30, 2025 |
| Powered Exoskeleton Orthosis (DME) | Northwood | Clinical | Durable Medical Equipment (DME) | Modified | Sep 30, 2025 |
| Non-Implantable Pelvic Floor Electrical Stimulator | Northwood | Clinical | Urology | Modified | Aug 20, 2025 |
| Continuous Passive Motion (CPM) Devices — Coverage Criteria | Northwood | Clinical | Physical Medicine, Rehab & Therapies | Modified | May 11, 2025 |
| Personal Emergency Response System (PERS) — DMEPOS Coverage Criteria | Northwood | Clinical | Durable Medical Equipment (DME) | Modified | Mar 11, 2025 |
| Respiratory Assist Device (RAD) coverage — E0470 / E0471 | Northwood | Clinical | Pulmonology | Modified | Jan 1, 2025 |
| Automatic External Defibrillator (AED) coverage | Northwood | Clinical | Cardiology | Modified | Jan 1, 2024 |
| Orthopedic Footwear and Foot Orthotics | Northwood | Clinical | Orthopedics/Musculoskeletal | Modified | Jan 1, 2024 |
| Eye prosthesis (ocular prosthesis and related scleral devices) | Northwood | Clinical | Durable Medical Equipment (DME) | Modified | Feb 1, 2023 |
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.