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  • Medicare Coverage of Specific Modalities and Procedures

Specific Modalities and Therapeutic Procedures

This section combines information from multiple local coverage determinations (CMS Contractors) to give a more comprehensive guide for each procedure.  Each includes a description of the procedure, indication, limitation, non-coverage, documentation requirements, and NCCI Edits. 

National Coverage Determinations for Therapy Services

  • Biofeedback Therapy and Treatment of Urinary Incontinence
  • Institutional and Home Care Patient Education Programs
  • Electrical Stimulation (ES) and Electromagnetic Therapy for the Treatment of Wounds
  • Treatment of Decubitus Ulcers
  • Infrared Therapy Devices
  • Non-Implantable Pelvic Floor Electrical Stimulator
  • Fluidized Therapy Dry Heat for Certain Musculoskeletal Disorders
  • Neuromuscular Electrical Stimulator (NMES)
  • Diathermy

Guides (Coming Soon)

  • Biofeedback
  • Electrical Stimulation
  • Wound Care

Therapeutic Procedures

  • Aquatic Therapy
  • Assistive Technology Assessments
  • Cognitive Skills Development
  • Community Work Integration
  • Electrical Stimulation
  • Gait Training
  • Manual Therapy Techniques
  • Massage
  • Negative Wound Therapy
  • Neuromuscular Electrostimulation
  • Neuromuscular Re-education
  • Orthotic Prosthetic Management
  • Orthotic Management and Training
  • Physical Performance Test
  • Prosthetic Training and Management
  • Removal of Devitalized Tissue
  • Self-Care Home Management
  • Sensory Integration
  • Therapeutic Activities
  • Therapeutic Exercises
  • Therapeutic Group Activities
  • Wheelchair Management


    • Contrast Bath
    • Diathermy
    • Hot and Cold Packs
    • Hubbard Tank
    • Iontophoresis
    • Paraffin Bath
    • Manual Traction
    • Ultrasound
    • Ultraviolet
    • Vasopneumatic Devices
    • Whirlpool

Casting and Strapping

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