RETIRED - Correct Coding - Myopro Assist Device - JA DME
RETIRED - Correct Coding - MyoPro (Myomo, Inc.) Assist Device
Joint DME MAC/PDAC Publication
The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have evaluated the MyoPro® upper extremity assist device and determined that it falls within the Durable Medical Equipment (DME) benefit category. Claims for MyoPro® should be submitted using the DME miscellaneous code E1399.
Suppliers are reminded that when submitting claims for items coded E1399, the supplier must include the following information:
- Manufacturer name
- Model name or number
- Pricing information
- Explanation of medical necessity
This information must be entered in the narrative field of an electronic claim (NTE 2300 or NTE 2400 of an electronic claim) or Item 19 of a paper claim.
This item is classified under the capped-rental payment methodology as it does not meet the requirements to be categorized as an inexpensive or routinely purchased item.
For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.
Publication Date: November 21, 2014
Retired: December 31, 2018
Last Updated Thu, 10 Jan 2019 13:44:06 +0000