This change request (CR) instructs the CWF maintainer to change the current CWF DA02 edit for DMEPOS provided during an inpatient stay from an alert code to a reject. This change will allow the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) the opportunity to deny the DMEPOS claims subject to this edit before they are finalized, as appropriate, to avoid future overpayments.
This instruction updates Pub. 100-04, chapter 13,
section 60.3.2 to include two new HCPCS codes for radiopharmaceutical diagnosis
imaging agents (tracers).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 01, 2006
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