Posts Tagged L8509

DMEPOS Fee Schedule October Updates

The Centers for Medicare & Medicaid Services released July 23 the October quarterly update for the 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule.

As part of this update, the Alaska and Hawaii fee schedule amounts for HCPCS Level II code E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each are being revised to correct errors made in the calculation of the fee schedule amounts. Contractors are instructed to adjust previously processed claims for code E0973 with service dates on or after Jan. 1, if they are resubmitted as adjustments.

Also included in the October quarterly update, per Transmittal 686 (Change Request (CR) 6743), the claims filing jurisdiction for HCPCS Level II code L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type is changing from DME Medicare administrative contractors (MACs) to Parts A/B MACs/Part B carriers, effective Oct. 1.

Source: CMS Transmittal 2006, CR 7070, issued July 23

July 30th, 2010

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DME MACs to Stop Covering Voice Prostheses Claims

Providers will soon need to submit claims for tracheo-esophageal voice prostheses somewhere other than to their Durable Medical Equipment Medicare Administrative Contractor (DME MAC).

The Centers for Medicare & Medicaid Services (CMS) is changing the claims filing jurisdiction for HCPCS Level II code L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type. Effective Oct. 1, 2010, such claims should be billed to the applicable Part A/B MAC or Part B carrier.

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April 30th, 2010

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