Replacement of a Part of a DME, Orthotic or Prosthetic Item Furnished as Part of a Repair

Correct Use

• Append to HCPCS codes billed for purpose of a repair as part of a repair to Durable Medical Equipment (DME), prosthetics or orthotics. This includes not otherwise classified (NOC) codes

Incorrect Use

• Appending modifier to HCPCS codes used to bill for labor related to repair

Resources

• Active Local Coverage Determinations (LCDs)
• Supplier Manual, Chapter 5, Repairs, Maintenance and Replacements