Prone or supine standers (procedure codes E0638, E0641, and E0642) may be considered for reimbursement when prescribed by a practitioner licensed to do so for clients with diagnoses such as cerebral palsy, spina bifida, paraplegia, or other conditions resulting in paralysis of both lower extremities. The medical condition must indicate the need for a standing program that must specifically be provided in the home environment. As many clients receive standing programs at school, the home standing program should coordinate with the school plan.
Standers provided by the CSHCN Services Program are for use only in the client’s home environment. Schools and therapy providers must provide their own equipment for standing programs in settings outside the client’s home. The equipment provided for home use does
not need to be identical to the equipment used in the school setting because they have to accommodate a variety of changing postural issues, and they require more heavy-duty equipment due to increased use and wear and tear on the equipment. DME providers supplying standers
must be enrolled in the CSHCN Services Program as custom DME providers.
