Supplies and DME

Select the title to see a summary and a link to the full article.  some articles require a subscription to view.

2022-05-26-MLNC - Biosimilars: Interchangeable Products May Increase Patient Access

by  CMS - MLNConnects

News - COVID-19: New Administration Code for Pfizer Pediatric Vaccine Booster Dose - - Biosimilars: Interchangeable Products May Increase Patient Access - - Critical Care Evaluation & Management Services: Comparative Billing Report in May - -...

Continuous Glucose Monitors (CGMs) -- New Codes

by  Wyn Staheli, Director of Content - innoviHealth

New codes for continuous glucose monitors (CGMs) became effective on April 1, 2022. The following information is excerpted from MLN Matters MM12564 regarding CGMs. Be sure to review this information and implement policies to ensure accurate reporting/billing. On December 28, 2021, we published the Medicare DMEPOS final rule in the Federal Register. This addressed the ...

When Can You Bill Orthosis Components Separately?

by  Wyn Staheli, Director of Content - innoviHealth

Othoses often have extra components. When can you bill those components separately? For example, can you bill for a suspension sleeve (L2397) with a knee orthosis (e.g., L1810)?

Correct Coding: Braces (Orthoses) Attached to Wheelchairs

by  Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Joint DME MAC and PDAC Publication Recently, claims for braces attached to wheelchairs have been submitted using HCPCS code K0108 - WHEELCHAIR COMPONENT OR ACCESSORY, NOT OTHERWISE SPECIFIED. K0108 is not the correct HCPCS code to use for these items. CMS has clarified the distinction between braces (orthoses) and durable medical equipment (DME) under Medicare Part ...

Off the Shelf - OTS Orthotics New Codes

by  Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

In February 2012, The Center for Medicare and Medicaid Services (CMS) issued guidance that initially identified specific Healthcare Common Procedure Coding System (HCPCS) codes that were considered Off-the-Shelf (OTS) orthoses. The list of HCPCS codes that were finalized as part of this review as OTS orthotics, effective January 1, 2014, ...
Subscribers will see related documentation, coding and billing tips. Access to this feature is available in the following products:
  • HCC Plus
  • Find-A-Code Professional
  • Find-A-Code Facility Base

suggest a resource

If you know of a resource that should be included here (links, data, etc.) please contact us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.