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Blue Cross and Blue Shield of Illinois policy

Durable Medical Equipment (DME) Reference List

Durable Medical Equipment (DME) Reference List is a public Blue Cross and Blue Shield of Illinois policy (policy DME101.000, effective Sep 15, 2026). It lists 67 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Blue Cross and Blue Shield of Illinois
Policy number
DME101.000
Effective
Sep 15, 2026
Line of business
Commercial, Medicaid
Source
medicalpolicy.hcsc.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Blue Cross and Blue Shield of Illinois policies
A9901Policies naming A9901
E0100Policies naming E0100
E0105Policies naming E0105
E0110Policies naming E0110
E0111Policies naming E0111
E0112Policies naming E0112
E0113Policies naming E0113
E0114Policies naming E0114
E0116Policies naming E0116
E0117Policies naming E0117
E0118Policies naming E0118
E0130Policies naming E0130
E0135Policies naming E0135
E0140Policies naming E0140
E0141Policies naming E0141
E0143Policies naming E0143
E0144Policies naming E0144
E0147Policies naming E0147
E0148Policies naming E0148
E0149Policies naming E0149
E0150Policies naming E0150
E0152Policies naming E0152
E0160Policies naming E0160
E0161Policies naming E0161
E0162Policies naming E0162
E0163Policies naming E0163
E0165Policies naming E0165
E0167Policies naming E0167
E0168Policies naming E0168
E0175Policies naming E0175
E0200Policies naming E0200
E0205Policies naming E0205
E0210Policies naming E0210
E0215Policies naming E0215
E0235Policies naming E0235
E0240Policies naming E0240
E0241Policies naming E0241
E0242Policies naming E0242
E0243Policies naming E0243
E0244Policies naming E0244
E0245Policies naming E0245
E0246Policies naming E0246
E0247Policies naming E0247
E0248Policies naming E0248
E0275Policies naming E0275
E0276Policies naming E0276
E0325Policies naming E0325
E0326Policies naming E0326
E0570Policies naming E0570
E0572Policies naming E0572
E0574Policies naming E0574
E0575Policies naming E0575
E0580Policies naming E0580
E0585Policies naming E0585
E0605Policies naming E0605
E0606Policies naming E0606
E0610Policies naming E0610
E0615Policies naming E0615
E0691Policies naming E0691
E0692Policies naming E0692
E0693Policies naming E0693
E0694Policies naming E0694
E0945Policies naming E0945
E1300Policies naming E1300
E1301Policies naming E1301
E1310Policies naming E1310
E1399Policies naming E1399

All Blue Cross and Blue Shield of Illinois policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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