Anthem Blue Cross Connecticut Commercial Clinical Policy

Anthem Blue Cross Connecticut DME.00046 Intermittent Abdominal Pressure Ventilation Devices Form

Effective Date

12/28/2023

Last Reviewed

05/11/2023

Original Document

  Reference



DME.00046 Intermittent Abdominal Pressure Ventilation Devices

Subject:

Description/Scope

This document addresses the use of intermittent abdominal pressure ventilation devices.

Position Statement

Investigational and Not Medically Necessary:

Intermittent abdominal pressure ventilation devices are considered investigational and not medically necessary for all indications.