HCPCS - DME, Drugs, and Services
HCPCS (pronounced “hick-picks”) is the Healthcare Common Procedure Coding System, maintained by the Centers for Medicare & Medicaid Services (CMS). HCPCS is a 5-character alphanumeric coding system that describes physician and other healthcare provider services and supplies.
Tip: All DME billing for Medicare is entered on a separate claim form and then transmitted to one of four designated regional DME carriers/contractors. See the “guide” section or the "General Links and Resources" below for more information.
Resources
There are 8 sections in the Guide.
Select the title to see a summary and a link to the full article. some articles require a subscription to view.
CMS Announces Changes to DME Program
by Wyn Staheli, Director of Content - innoviHealth
Compliance Billing: Power Mobility Devices
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
CMS says Less Paperwork for DME Suppliers after Jan 2023!
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
by CMS - MLNConnects
Continuous Glucose Monitors (CGMs) -- New Codes
by Wyn Staheli, Director of Content - innoviHealth
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
HCPCS Codes Were NOT all Created for the Same Purpose
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Healthcare Common Procedure Coding System (HCPCS)
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
When Can You Bill Orthosis Components Separately?
by Wyn Staheli, Director of Content - innoviHealth
Home Oxygen Therapy
by Raquel Shumway
Capped Rental Items
by Kristy Ritchie
Home Oxygen Therapy -- CMN for Oxygen
by Raquel Shumway
Preventive Medicine: Breastfeeding Supplies
by Find-A-Code™
Coverage Criteria for Nonwearable Automatic Defibrillators
by Find-A-Code™
Home Oxygen Therapy -- A Face-to-Face Encounter
by Raquel Shumway
DME Documentation Requirements
by Wyn Staheli, Director of Content - innoviHealth
Modifier NU
by Brandy Brimhall, CPC CMCO CPCO CCCPC CPMA QCC
by Jared Staheli, MPP
by Jared Staheli, MPP
There are 101 related documentation, coding and billing tips.
Select the title to see a summary and a link to the full webinar information. some webinars require a subscription to view.
by Find-A-Code™
Proper Coding and Billing for Drugs, Biologicals and InjectionsLinks and resources by topic.
Medicare Resources
- Power Mobility Devices (PMDs): Complying with Documentation [PDF, 1MB] - This Fact Sheet (ICN 905063) is designed to provide education on Medicare coverage and billing requirements for PMDs. It includes information concerning basic coverage criteria and documentation requirements as well as, detailed coverage guidelines for the specific type of PMD provided.
- SE1112 Power Mobility Device Face-to-Face Examination Checklist [PDF, 100KB]
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