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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.

‘-U3’ Repair/Replacement to Patient Owned Equipment, is required when billing for repairs to patient owned equipment when the member is in a hospital or skilled nursing facility. 7. For items listed in section 4.1 Medical/Surgical Supplies, the quantity listed is the maximum allowed per 30 days, unless otherwise specified. If the

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