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Medicare Reimbursement Policy Updates for November 13, 2023
Reimbursement PolicyRevision
Bundling Guidelines

Added DME Bundling section. Medical Director Approved.

Pricing and Adjudication Principles

Added bullet 16 for overlapping or duplicative services. Medical Director approved. 

Supply and Equipment

Added CG modifier and Spinal Orthosis Procedures, PAP mask and tubing reimbursement limit, diabetic therapeutic inserts and shoes, ESRD supplies, catheter, portable oxygen and oxygen supplies and routine DME in Supplies and Billing Requirements. Body socks, diabetic shoe molds / inserts, repair or nonroutine service and ostomy irrigation added to Non-Reimbursable Supplies and Equipment. Medical Director approved.

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