Know your DME Modifiers

2. Know your DME Modifiers Equipment that provides therapeutic benefits to a patient and is primarily for long-term and home use is termed DME. Due to a wide variety of models for DME, the Centers for Medicare and Medicaid Services (CMS) instituted the Healthcare Common Procedure Coding System (HCPCS) and modifiers that correspond to the parameters policy and LCD and make the HCPCS code valid before claim processing. Here we shared the DME Modifiers which are divided into several categories: DME Modifiers are divided into several categories: Routinely purchased Pricing Modifiers:

3. Know your DME Modifiers Capped Rental Items and modifiers: One can use RR in this category except for wheelchairs where the patient is allowed the option to buy one. Others are:

4. Know your DME Modifiers Other Categories: DME Modifiers for Oxygen and the Corresponding equipment:

5. Know your DME Modifiers Functional DME Modifiers for Prosthetics and Orthotics: Osteogenesis Stimulators: Tape (A4450, A4452):

6. Know your DME Modifiers Drug Formulations (pedorthics.org): Anatomic DME Modifiers:

7. Know your DME Modifiers Up-gradation/Prescription requirement: Added modifiers:

8. Know your DME Modifiers As mentioned above, DME modifiers are two-character alpha or numeric codes that are added to the end of HCPCS codes to elucidate the benefits when billed. Adding these augments the reimbursement process. Medical Billers and Coders (MBC) is a leading medical billing company providing complete medical billing services. Our certified coders follow accurate DME billing and coding guidelines to ensure an accurate selection of procedure codes along with modifiers. To know more about our DME billing and coding services, contact us directly at info@medicalbillersandcoders.com or call us at 888-357-3226.