Implementation of a Bundled Payment for Multi-Component Durable Medical Equipment (DME)

MLN Matters Number: MM10854
Related CR Release Date: November 21, 2018
Related CR Transmittal Number: R2206OTN
Related Change Request (CR) Number: 10854
Effective Date: January 1, 2019
Implementation Date: January 7, 2019

CR 10854 informs providers that the Centers for Medicare & Medicaid Services (CMS) is implementing a special payment rule and a new Healthcare Common Procedure Coding System (HCPCS) code E0467 for a multi-function ventilator under the frequent and substantial servicing DME payment category. Make certain your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)10854.

Last Updated Nov 28, 2018