Insurance Coverage for The mPower
Myomo, Inc. can help qualified patients navigate the reimbursement process and determine if their insurance will cover the cost of the mPower.
To qualify, you will need to be screened by a Myomo certified practitioner to ensure the mPower is right for you. If a certified healthcare practitioner has determined that you can benefit from the mPower, we can contact your insurance carrier to verify insurance benefits and help you complete any necessary paperwork required by the insurance company. In most cases, a prescription (Rx) is required.
For some patients, insurance may cover all or part of the cost of the mPower. Most policies (including Medicare, BWC, and private insurers) cover the MPower under the Prosthetic/Orthotic benefit category. This may also fall within the Durable Medical Equipment (DME) benefit category.
The procedure code within the Healthcare Common Procedure Coding System (HCPCS) to accurately describe the Myomo System is code L3999.
A recent coding clarification advisory article issued on 5/8/2012 was published by the Medicare Pricing, Data Analysis, and Coding contractor: “The distinction in coding relates to the indicated use of the joint and the beneficiary’s medical condition(s). The Concentric adjustable torsion-style joints used solely to provide an assistive function for joint motion must be coded L2999 or L3999.”
To schedule a screening or request more information please email us at info@myomo.com.