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MLN3754874 - Ordering External Breast Prostheses and Supplies

This revised Product comprises Subregulatory Guidance for Ordering External Breast Prostheses and Supplies and its content is based on publicly available https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55426, and https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c15.pdf#page=129, and https://www.cms.gov/medicare-coverage-database/search.aspx.

CMS policy or operation subject matter experts also reviewed/cleared this product. This product educates providers about improper payments for ordering post-mastectomy breast prostheses and supplies.

Download the Guidance Document

Final

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

Issue Date: December 28, 2023

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.