Billing for Certain Customized Items (Rev. 1, 10-01-03)

by  Jared Staheli
June 18th, 2015

Due to their unique nature (custom fabrication, etc.), certain customized DME cannot be grouped together for profiling purposes. Claims for customized items that do not have specific HCPCS codes are coded as E1399 (miscellaneous DME). This includes circumstances where an item that has a HCPCS code is modified to the extent that neither the original terminology nor the terminology of another HCPCS code accurately describes the modified item.

Suppliers and providers other than HHAs bill the DMERC or local carrier. HHAs bill their RHHI, using revenue code 0292 along with the HCPCS.

References:

Billing for Certain Customized Items (Rev. 1, 10-01-03). (2015, June 18). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/billing-for-certain-customized-items-rev-1-10-01-03-26749.html

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