This document addresses the use of standing frames, which are assistive devices that provide an alternative position for individuals confined to supine, prone, or sitting positions. These devices allow the individual to achieve a standing position and then support the person in the standing position. Standers can be integrated to use with wheelchairs for those in a sitting position. Other types of standing frames are designed to aid those in a prone or supine position to achieve a standing position.

Clinical Indications

Medically Necessary:

A non-powered standing frame is considered medically necessary when a written assessment by a physician or other appropriate clinician demonstrates criteria 1, 2 and 3 are met:

1. The individual has a neuromuscular condition (such as multiple sclerosis, cerebral palsy, spinal cord injury or stroke) which impairs their ability to stand independently, but they are able to maintain a standing position due to residual strength in the hips, legs and lower body with the aid of a standing frame device; and
2. The individual has completed appropriate standing device training and has demonstrated an ability to safely use the device in the home setting; and
3. Use of the device can be reasonably expected to provide therapeutic benefits or enable the individual to perform certain tasks that he or she is unable to undertake otherwise due to the neuromuscular condition.

Replacement of a non-powered standing frame is considered medically necessary when both of the following criteria have been met:

1. The medically necessary criteria above have been met; and
2. The device is out of warranty and cannot be refurbished or adequately repaired.

Not Medically Necessary:

A non-powered standing frame is considered not medically necessary when the criteria above are not met and for all other indications.

Replacement of a non-powered standing frame is considered not medically necessary when the criteria above have not been met.

A powered standing frame is considered not medically necessary.