RETIRED - Billing Reminder: Narrative Requirements for Supplies and Accessories Used with Beneficiary Owned Equipment


Content Provided on this page contains outdated information and instruction and should not be considered current. Noridian is providing this archived information for research purposes only. This archived article contains previously issued instructions that have since been updated or are no longer applicable for Medicare billing purposes.

Revised March 04, 2011

Posted May 14, 2010

Suppliers are reminded that additional documentation is required in situations where supplies and accessories are provided for a piece of equipment not paid for by Fee-For- Service (FFS) Medicare. In addition, drugs used with a nebulizer or external infusion pump would be considered supplies to a covered piece of DME and must meet the same documentation requirements outlined below.

For supplies and accessories used with equipment purchased privately or by another insurer, all of the following information must be submitted with each claim in Item 19 on the CMS-1500 claim form or in the NTE segment for electronic claims:

  • HCPCS code of base equipment; and
  • A notation that this equipment is beneficiary-owned; and
  • Date the patient obtained the equipment (Month and Year at a minimum)

Example narrative for nebulizer drugs and supplies used with a beneficiary owned nebulizer:


Example narrative for CPAP supplies for a beneficiary owned CPAP:


Claims for supplies and accessories must include all three pieces of information listed above. Claims lacking any one of the above elements will be denied for missing information.

Claims denied for missing information on the base piece of equipment may be submitted to written reopenings with the required documentation. If a claim for the base piece of equipment was subsequently submitted after the claim for the supplies and/or accessories denied; the claim can be correct via the telephone reopenings process.

Suppliers can verify payment or record of the base piece of equipment by accessing the CMN Status Option 3 in the Interactive Voice Response (IVR) System. An IVR User Guide is available to assist in this process.

Additional information is available in the April 2009 Medical Review Bulletin titled, "Supplies and Accessories Used With Beneficiary Owned Equipment April 2009 Clarification."

Important Clarification: This documentation must be present on every claim (not only the 1st claim) for supplies and accessories used with beneficiary owned equipment which was not paid for by FFS Medicare.

Publication History

Date of Change Description
05/14/2010 Originally Published
03/04/2011 Revised
03/18/2021 Retired due to publishing a revised duplicative article. See article titled Supplies and Accessories Used with Beneficiary Owned Equipment


Last Updated Dec 10 , 2023