Anthem Blue Cross Connecticut Commercial Clinical Policy

Anthem Blue Cross Connecticut DME.00041 Ultrasonic Diathermy Devices Form

Effective Date

09/27/2023

Last Reviewed

08/10/2023

Original Document

  Reference



This document addresses the use of ultrasonic diathermy devices. This involves sound waves produced by ultrasound that travel deep into tissue to create therapeutic heat.

Position Statement

Investigational and Not Medically Necessary:

Ultrasonic diathermy devices are considered investigational and not medically necessary for all indications.