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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.

9. This manual specifies when accessories or components are included in the maximum reimbursement amount (MRA) of certain base codes (i.e. wheelchairs, standers, speech generating devices) . These accessories or components should be included at the time of initial dispensing of the equipment.

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