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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. PROCEDURE CODES new to the manual are bolded.

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Procedure Codes and Coverage Guidelines . Version 2021 (7/1/2021) 5 . should also be used when submitted for replacement or repair of an item using the ‘ -RB’ modifier. ‘-RB' Replacement and Repair: • Allowed once per year (365 days) per device for patient-owned devices only.

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