In DME medical billing, your DME coders require correct HCPCS codes along with correct modifiers that are used for providing more details about the equipment. If your medical coders are unable to use modifiers or not using them in the correct manner, then the claims may get denied by the insurance company. Some common DME modifiers include RR- rental, UE- purchase of used equipment, and NU- purchase of new equipment. Know your DME HCPCS Codes
When a laboratory demand, request for DME is being filled, medical coders will be needed for ICD-10 codes for a patient’s diagnosis.
To use an appropriate HCPCS code for the DME item, many HCPCS codes need a modifier. Modifiers are used to provide more details about the DME item. e.g. The modifier might indicate to HMSA that an item is new, rented on a capped basis, or rented. For capped rentals, modifiers differentiate which month’s rental is being billed.
If your billers use these modifiers incorrectly then the claim will be rejected. To speed up this process of your claims, show the first-month rental by adding the appropriate modifier code and bill your claims in successive order.
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HCPCS Code Range:
E0100-E8002: Durable Medical Equipment
E0100-E0159: Walking Aids and Attachments
E0160-E0162: Sitz Bath/Equipment
E0163-E0175: Commode Chair and Supplies
E0181-E0199: Pressure Mattresses, Pads, and Other Supplies
E0200-E0239: Heat, Cold, and Light Therapies
E0240-E0249: Bathing Supplies
E0250-E0373: Hospital Beds and Associated Supplies
E0424-E0487: Oxygen Delivery Systems and Related Supplies
E0500-E0500: Intermittent Positive Pressure Breathing Devices
E0550-E0601: Humidifiers and Nebulizers with Related Equipment
E0602-E0604: Breast Pumps
E0605-E0606: Other Breathing Aids
E0607-E0620: Monitoring Equipment
E0621-E0642: Patient Lifts and Support Systems
E0650-E0676: Pneumatic Compressors and Appliances
E0691-E0694: ULTRAVIOLET LIGHT THERAPY SYSTEMS
E0700-E0710: Safety Devices
E0720-E0770: Stimulation Devices
E0776-E0791: Infusion Pumps and Supplies
E0830-E0948: Traction and Other Orthopedic Devices
E0950-E1036: Wheelchair Accessories
E1037-E1039: Transport Chairs
E1050-E1070: Fully Reclining Wheelchairs
E1083-E1086: Hemi-Wheelchairs
E1087-E1090: Lightweight, High-strength Wheelchairs
E1092-E1093: Heavy Duty, Wide Wheelchairs
E1100-E1110: Semi-reclining Wheelchairs
E1130-E1161: Standard Wheelchairs
E1170-E1200: Amputee Wheelchairs
E1220-E1228: Other Wheelchairs and Accessories
E1229-E1239: Pediatric Wheelchairs
E1240-E1270: Lightweight Wheelchairs
E1280-E1298: Heavy Duty and Special Wheelchairs
E1300-E1310: Whirlpool Baths
E1352-E1406: Accessories for Oxygen Delivery Devices
E1500-E1699: Dialysis Systems and Accessories
E1700-E1702: Jaw Motion Rehabilitation Systems
E1800-E1841: Extension/Flexion Rehabilitation Devices
E1902-E1902: Communication Boards
E2000-E2120: Miscellaneous Pumps and Monitors
E2201-E2295: Manual Wheelchair Accessories
E2300-E2398: Power Wheelchair Accessories
E2402-E2402: Wound Therapy Pumps
E2500-E2599: Speech Generating Devices, Software, and Accessories
E2601-E2625: Wheelchair Seat and Back Cushions
E2626-E2633: Wheelchair Mobile Arm Supports
E8000-E8002: Pediatric Gait Trainers
HCPCS codes range from E0100 to E8002 for Durable Medical Equipment is the standard code set that is significant for health insurance providers and Medicare to provide reimbursement.
Outsourcing your DME medical billing to Medical Billers and Coders (MBC) can help you streamline your billing process, reduce errors, and improve your bottom line. With our expertise, compliance, transparency, customer service, and technology, MBC can be the right choice for managing your DME Medical Billing. To know more about our DME Medical Billing Services, email us at: info@medicalbillersandcoders.com or call us at 888-357-3226.
FAQs
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What are HCPCS codes in DME billing?
HCPCS codes are a standardized code set used for billing durable medical equipment (DME) to insurance providers and Medicare for reimbursement.
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Why are modifiers important in DME billing?
Modifiers provide additional details about the DME, such as whether it’s rented or purchased, and ensure accurate billing and reimbursement.
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What happens if modifiers are used incorrectly in DME billing?
Incorrect use of modifiers can lead to claim denials or rejections by insurance companies.
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What are some common DME modifiers?
Common DME modifiers include RR (rental), UE (purchase of used equipment), and NU (purchase of new equipment).
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What types of DME items are covered under the HCPCS code range E0100-E8002?
The range includes a variety of DME items like walking aids, hospital beds, oxygen delivery systems, wheelchairs, and more.
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Why is accurate documentation important in DME billing?
Accurate documentation, including proper coding and modifier use, is essential to ensure claims are processed and reimbursed without issues.
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How can outsourcing DME billing benefit my practice?
Outsourcing DME billing to experts like Medical Billers and Coders (MBC) can streamline the process, reduce errors, and improve revenue management.
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How does MBC help with DME medical billing?
MBC helps by providing expert billing services, ensuring compliance, and reducing errors, leading to faster reimbursement and improved financial outcomes.
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What is the significance of using modifiers for capped rentals in DME billing?
Modifiers differentiate the month of rental being billed, which is essential for claims related to capped rentals.
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How can I contact MBC for DME billing services?
You can email MBC at info@medicalbillersandcoders.com or call at 888-357-3226 for more information about their DME billing services.