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Following are coverage criteria for standing devices:
- The physician certifies that the patient has the potential for ambulating.
- For patients with an incomplete spinal cord injury, a trial with braces is required before consideration can be made for a standing device.
- A quadriplegic child should only require a basic support frame.
- The following diagnoses may be considered for possible coverage for a standing device:
- Spinal cord injury
- Traumatic brain injury
- Cerebral palsy
- Muscular dystrophy
- Multiple sclerosis
- Spina bifida
- When a wheelchair integrated model is requested, a review will be conducted to determine when the last wheelchair was obtained. If it was obtained within two years, an additional allowance will only be made for the basic standing device.
- Standard devices for the sole purpose of helping a patient reach high places or storage areas are not covered.
- Standing devices requested for vocational usage are not covered.
Last Updated July 2010