Before an item can be considered DME, it must meet all of the following requirements: It must be able to withstand repeated use. It must be primarily and customarily used to serve a medical purpose. It must be generally not useful to a person in the absence of an illness or injury. It must be appropriate for use in the home.

We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions.

2024年8月12日 · CMS has streamlined regulatory requirements to help simplify DMEPOS payment requirements and reduce provider and supplier burden. The Master List serves as a library of Fee-for-Service DMEPOS codes that were flagged as potential vulnerabilities based on the criteria outlined in CMS-1713-F.

2023年5月16日 · The durable medical equipment (DME) list that follows is designed to facilitate the A/B MAC (HHH) and DME MACs processing of DME claims. This section is designed as a quick reference tool for determining the coverage status of certain pieces of DME and especially for those items commonly referred to by both brand and generic names.

2024年10月15日 · HCPCS level II codes, maintained and updated annually by the Centers for Medicare and Medicaid Services (CMS), are used to identify and report a wide range of durable medical equipment. We have compiled a list of the most frequently used codes so you can improve your coding accuracy.

CMS annually updates a spreadsheet that contains a list of HCPCS codes for durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions to reflect codes that are either added or discontinued (deleted) each year.

6 天之前 · Joint DME MAC and PDAC Publication Posted March 27, 2025 The following tables identify changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for April 2025. The tables contain only HCPCS codes applicable to …

DME coding refers to the use of HCPCS Level II codes specific to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). This coding is crucial for manufacturers, distributors, and suppliers as it provides the necessary information for submitting claims to the Durable Medical Equipment Medicare Administrative Contractor (DME MAC).

6 天之前 · March 27, 2025 2025 HCPCS Code Update – April Edition – Correct Coding Joint DME MAC and PDAC Publication The following tables identify changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for April 2025. The tables contain only HCPCS codes applicable to items within Medicare DME MAC jurisdiction.

2 天之前 · HCPCS Procedure & Supply, and DME medical codes. Used for documenting medical procedures performed and supplies used, including Durable Medical Equipment (DME).