Modifiers for DME Services
Several DME categories and frequently used modifiers are listed below.
Inexpensive or Routinely Purchased DME
• Inexpensive DME-This category is defined as equipment whose purchase price does not exceed $150.
• Routinely Purchased-This category consists of equipment that is purchased at least 75% of the time.
Payment for this type of equipment is for rental or lump sum purchase. The total payment may not exceed the actual charge or the fee for a purchase.
Common modifiers used in this category are:
• RR Rental
• NU Purchase of new equipment
• UE Purchase of used equipment
Items Requiring Frequent and Substantial Servicing
Equipment in this category is paid on a rental basis only. Payment is based on the monthly fee schedule amount until the medical necessity ends. No payment is made for the purchase of equipment, maintenance and servicing or for replacement of items.
Use the RR (Rental) modifier for items in this category.
Durable medical equipment (DME ) medical billing. How to do billing for Medicare and what equipment covered by Medicare. DME Modifiers and CPT codes.
Monday, December 13, 2010
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