Dear Physician Letter - ICD-10

The DME Medical Directors have provided a letter that suppliers may use to remind physicians of the ICD-10 requirement, beginning October 1, 2015. For certain DMEPOS items ordered for Medicare beneficiaries, only designated ICD-10 diagnosis codes will be allowable within the claims processing system for proper reimbursement. Not only must the appropriate ICD-10 diagnosis code, with the maximum level of specificity, be provided to the DMEPOS supplier for claim submission; that ICD-10 diagnosis code must be supported and documented appropriately within the patient's medical record.

Last Updated Aug 15 , 2018