Article Detail - JD DME
RETIRED - Billing Reminder - Urological Supplies
Article retired due to content incorporation into the applicable Local Coverage Determination or related Policy Article.
September 09, 2011
The DME MAC A Outreach & Education Team would like to remind the supplier community that many urological supply HCPCS codes include payment for other items. In these cases, the included items are not separately payable by Medicare and should not be submitted on the claim.
When providing the urological supply HCPCS listed in Column II, the Column I code must be used instead of billing separate Column II codes when the items are provided at the same time.
|Column I||Column II|
|A4311||A4310, A4332, A4338|
|A4312||A4310, A4332, A4344|
|A4313||A4310, A4332, A4346|
|A4314||A4310, A4311, A4331, A4332, A4338, A4354, A4357|
|A4315||A4310, A4312, A4331, A4332, A4344, A4354, A4357|
|A4316||A4310, A4313, A4331, A4332, A4346, A4354, A4357|
|A4354||A4310, A4331, A4332, A4357|
|A4358||A4331, A5113, A5114|
|A5105||A4331, A4358, A5112, A5113, A5114|
If a urological supply HCPCS code exists that includes multiple products, that code should be used in lieu of the individual codes.
Suppliers should contact the Pricing, Data Analysis and Coding (PDAC) Contractor for guidance on the correct coding of these items. The PDAC can be reached at 1-877-735-1326 or http://www.dmepdac.com.
Last Updated Thu, 10 Jan 2019 13:23:28 +0000