Intravenous Therapy Supplies
Intravenous therapy supplies including all HCPCS “S” codes listed on the DMEPOS Fee Schedule are billed through the DME program (provider type 33), not provider type 37
Medications added to TPN Solution immediately prior to administration are billed through Point of Sale (POS) using provider type 37. See the Provider Type 37 Billing Guidelines and MSM Chapter 1200 for coverage and limitations.
Orthotic and Prosthetic Devices
With the exception of “repair” codes, DME providers (provider type 33) are not required to request prior authorization for “L codes” with a reimbursement rate of less than $250.00. This does not negate the provider or supplier’s responsibility to practice within their scope and to follow DHCFP policy in MSM Chapter 1300.
Durable medical equipment (DME ) medical billing. How to do billing for Medicare and what equipment covered by Medicare. DME Modifiers and CPT codes.
Sunday, April 3, 2011
Billing Intravenous Therapy Supplies & Orthotic and Prosthetic Devices in DME setup
Labels:
CPT CODES,
DME billing basic,
Medicaid DME billing
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