Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.8

Billing for DME, Prosthetic and Orthotic Devices, and Surgical Dressings

Last amended: 2015Year: 2015Length: 120 wordsOfficial source
100.8 - Billing for DME, Prosthetic and Orthotic Devices, and Surgical Dressings (Rev. 3220, Issued: 03-16-15, Effective: ICD-10: Upon Implementation of ICD-10, ASC-X12: 01-01-12, Implementation: 10-01-14, ICD-10: Upon Implementation of ICD-10 ASC X12: 09-16-14) The CORFs bill DME to the DME MAC with the ASC X12 professional claim format or Form CMS-1500 except for claims for implanted DME, which are billed to the local A/B MAC (B). If the CORF does not have a supplier billing number from the National Supplier Clearinghouse (NSC), it may contact the NSC to secure one. If the local A/B MAC (B) has issued the CORF a provider number for billing physician services, the CORF may not use the same number when billing for DME.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.8: Billing for DME, Prosthetic and Orthotic Devices, and Surgical Dressings | Justis AI