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DME PROCEDURE CODES AND COVERAGE GUIDELINES

NEW YORK STATE. MEDICAID PROGRAM. DURABLE MEDICAL EQUIPMENT, ORTHOTICS, PROSTHETICS, AND. SUPPLIES. PROCEDURE CODES . AND. COVERAGE GUIDELINES . Durable Medical Equipment, Orthotics, Prosthetics and Supplies PROCEDURE CODES and COVERAGE GUIDELINES Table of Contents What's New for the 2018 Manual 3. Version 1? General Information and Instructions 5. Medical/Surgical Supplies 9. Enteral Therapy 32. Hearing Aid Battery 36. Durable Medical Equipment 37. Orthotics 120. Prescription Footwear 152. Prosthetics 157. Definitions 182. Version 2018-2 (09/01/2018) 2.

Medicaid provider will be paid the line item labor cost on the manufacturer’s invoice and the applicable Medicaid fee on the parts. If labor and parts charges are not separately itemized on the invoice as required by 18NYCRR 505.5, the Medicaid provider is not entitled to a markup on the cost of parts and will only be paid

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