Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.8
Billing for DME, Prosthetic and Orthotic Devices, and Surgical Dressings
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.