Ostomy Supplies & Chronic Care Management Services -- MLNConnects

by  CMS - MLNConnects
Jul 21st, 2025

Ostomy Supplies: Prevent Claim Denials

In 2023, the improper payment rate for ostomy supplies was 25.6%, with a projected improper payment amount of $56.8 million (see 2023 Medicare Fee-for-Service Supplemental Improper Payment Data (PDF)). Learn how to bill correctly for these services. Review the Ostomy Supplies provider compliance tip for more information, including:

• Billing codes
• Denial reasons and how to prevent them
• Refill and documentation requirements

Chronic Care Management Services — Revised

CMS added information about advanced primary care management (PDF).

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