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Additional Healthcare Common Procedure Coding System (HCPCS) Codes Payable Under the Replacement Parts, Accessories, and Supplies Pricing Logic Established By Change Requests (CRs) 5917 and 6573

Change Requests 5917 and 6573 established and clarified instructions for carriers / A/B MACs to process and pay claims for replacement parts, accessories, and supplies for prosthetic implants and surgically implemented durable medical equipment (DME) when submitted by suppliers that are enrolled with both the National Supplier Clearinghouse (NSC) and with their local carrier /
A/B MAC as a DMEPOS supplier.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 28, 2011

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.