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Medicare Claims Processing Manual Chapter 20 - Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
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Equipment Required An analysis of the tasks to be performed at a workstation will indicate the equipment required, which may include reference manuals, files, writing materials in addition to the computer, a telephone, a calculator and printer. The arrangement of these items may be planned on a scale drawing, or the actual items can be set up on a prototype workstation. It is likely that a single desk will not provide sufficient space, and a return will also be necessary. The depth of some desks may also prove insufficient. At this stage one might. | Medicare Claims Processing Manual Chapter 20 - Durable Medical Equipment Prosthetics Orthotics and Supplies DMEPOS Table of Contents Rev. 2629 01-04-13 Transmittals for Chapter 20 01 - Foreword 10 - Where to Bill DMEPOS and PEN Items and Services 10.1 - Definitions 10.1.1 - Durable Medical Equipment DME 10.1.2 - Prosthetic Devices - Coverage Definition 10.1.3 - Prosthetics and Orthotics Leg Arm Back and Neck Braces Trusses and Artificial Legs Arms and Eyes - Coverage Definition 10.1.4 - Payment Definition Variances 10.1.4.1 - Prosthetic Devices 10.1.4.2 - Prosthetic and Orthotic Devices P O 10.2 - Coverage Table for DME Claims 10.3 - Beneficiaries Previously Enrolled in Managed Care Who Return to Traditional Fee for Service FFS 20 - Calculation and Update of Payment Rates 20.1 - Update Frequency 20.2 - Locality 20.3 - Elimination of Kit Codes and Pricing of Replacement Codes 20.4 - Contents of Fee Schedule File 20.5 - Online Pricing Files for DMEPOS 30 - General Payment Rules 30.1 - Inexpensive or Other Routinely Purchased DME 30.1.1 - Used Equipment 30.1.2 - Transcutaneous Electrical Nerve Stimulator TENS 30.2 - Items Requiring Frequent and Substantial Servicing 30.2.1 - Daily Payment for Continuous Passive Motion CPM Devices 30.3 - Certain Customized Items 30.4 - Other Prosthetic and Orthotic Devices 30.5 - Capped Rental Items 30.5.1- Capped Rental Fee Variation by Month of Rental 30.5.2 - Purchase Option for Capped Rental Items 30.5.3 - Additional Purchase Option for Electric Wheelchairs 30.5.3.1 - Exhibits 30.5.4 - Payments for Capped Rental Items During a Period of Continuous Use 30.5.5 - Payment for Power-Operated Vehicles that May Be Appropriately Used as Wheelchair 30.6 - Oxygen and Oxygen Equipment 30.6.1 - Adjustments to Monthly Oxygen Fee 30.6.2 - Purchased Oxygen Equipment 30.6.3 - Contents Only Fee 30.6.4 - DMEPOS Clinical Trials and Demonstrations 30.7 - Payment for Parenteral and Enteral Nutrition PEN Items and Services 30.7.1 - Payment for .