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Unlock the full potential of your medical coding capabilities with the CPT® Advanced Coding Pack from the American Medical Association (AMA). Designed for professional medical coders, auditors, and billers like you, this comprehensive suite of resources provides everything you need to navigate the complexities of the CPT code set with confidence and precision.

 

Advanced Coding Pack includes:

1. CPT Assistant - Newsletter with official education and guidance
2. CPT Knowledge Base - Commonly asked coding questions answered by the experts
3. CPT Vignettes - Comprehensive clinical examples.

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DMEPOS Product Search

quick product and HCPCS code lookup for Durable Medical Equipment (DME), Prosthetics, Orthotics, Supplies

Put manufacturer's name and/or product name in quotes for more accurate searches,  ex. "manufacturer name" or "product name"

Search Results for:  catheter bag

DMEPOS Products by Manufacturer

DMEPOS Product Classification List (PCL)

Find-A-Code is NOT responsible for maintaining the information in this list. For updates and changes to product information:

• Coding verification by the PDAC is a voluntary process unless otherwise mandated by DME MAC policy.
• Only products that have been submitted to the PDAC/SADMERC for coding verification are posted to the PCL.
• Product information can be searched by manufacturer/distributor, product name, product/model number or HCPCS code
• Products listed on the PCL with a comment stating, “Code Reverified” have been submitted for review multiple times. This comment indicates any changes to the product, based on a new coding verification review, have not affected the coding assignment.
• If a product is not listed in the PCL, please email the PDAC Contact Center at pdac@noridian.com for coding assistance. 
• It is the responsibility of the manufacturer to verify their DMEPOS product information is listed accurately on the PCL and education on the assigned code is provided to their distributors and/or suppliers. If any product information is inaccurate on the coding verification letter or on the PCL, the manufacturer should notify the PDAC immediately.
• Manufacturers/Distributors are responsible to notify the PDAC of any changes involving their products posted on the PCL. Click on the Request Updates to DMECS link for instructions on requesting updates to the PCL.

Billable HCPCS Codes vs. Payable HCPCS Codes

The PDAC receives frequent inquiries regarding a billable HCPCS code and a payable HCPCS code. One may think the two are the same; however this is not the case.

A billable HCPCS code is one that is submitted on a claim to the DME MAC. A billable HCPCS code will display as active on DMECS (no end date). If the HCPCS code is billable to the DME MAC it does not necessarily mean it is payable.

A payable HCPCS code is one that will be considered for payment by the DME MACs if the item meets the definition of DME, falls under a benefit category, and is covered under other general DME guidelines. Specific details can be found on the applicable DME MAC website for which you are billing.

When inquiring about a HCPCS code to determine if the code is billable or payable to a DME MAC, first check the National Coverage Determination (NCD), the Local Coverage Determination (LCD), and the DME MAC website to determine whether the code is billable and/or payable.

Example:  HCPCS code A5510 is currently listed on DMECS as a billable code to the DME MAC. The current LCD states: "Items represented by code A5510 reflect compression molding to the patient's foot over time through the heat and pressure generated by wearing a shoe with the insert present. Since these inserts are not considered total contact at the time of dispensing, they do not meet the requirements of the benefit category and will be denied as non-covered". The LCD indicates that this HCPCS code is billable but not payable by the DME MACs.

Source:  https://www4.palmettogba.com/pdac_dmecs/initProductClassificationResults.do

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