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ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

ACG-Blue-DME

Cooling & Heating Devices Used in the Outpatient Setting
Blood Glucose Monitors & Supplies
External Infusion Pumps (non-insulin)
Continuous Passion Motion Device
Electrostimulation & Electromagnetic Therapy for Treating Wounds
External Insulin Infusion Pumps & Continuous Glucose Monitors
Home Cardiorespiratory Monitoring- Infant

Indicates Non-covered Service

Hospital Beds & Accessories
Home Pulse Oximetry
Mechanical Stretching Devices for Treatment of Joint Stiffness & Contractures
Home Spirometry
Infrared Energy Therapy & Low Level Laser Therapy
Negative Pressure Wound Therapy (NPWT)
Neuromuscular Electrical Stimulation (NMES)
Oscillatory Devices Used in the Home for the Treatment of Cystic Fibrosis & Respiratory Disorders
Non-Invasive Electrical Bone Growth Stimulators (EBGS)
Percutaneous Electrical Nerve Stimulation (PENS)
Noncontact Normothermic Wound Thearpy
Oxygen
Pneumatic Compression Devices
Positive Airway Pressure Devices
Speech Generating Devices
Positive Pressure Ventilation
Adults
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
Sacral Nerve Neuromodulation/Stimulation
Transcutaneous Electric Nerve Stimulation (TENS)
Tumor Treating Fields Therapy
NonInvasive Ultrasound Osteogenesis Stimulators
Wheelchairs & Wheelchair Accessories
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