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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. Durable Medical Equipment, Orthotics, Prosthetics and Supplies PROCEDURE CODES and COVERAGE GUIDELINES WHAT'S NEW FOR THE 2018 MANUAL? Please note the following changes to the PROCEDURE CODES and COVERAGE GUIDELINES section of the Durable Medical Equipment, Orthotics, Prosthetics and Supplies (DMEPOS) manual, Version 2018.

3. Any item dispensed in violation of Federal, State or Local Law is not reimbursable by New York State Medicaid. 4. PURCHASES: An underlined procedure code indicates the item/service requires prior approval. When the procedure code’s description is preceded by a “#”, the item/service requires an authorization via the dispensing

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