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TO:                 DURABLE MEDICAL EQUIPMENT (DME) PROVIDERS

 

FROM:            PAUL SWATSENBARG, Deputy Administrator, Division of Medicaid

 

  

           At this time, Idaho Medicaid follows the 2001 DMERC guidelines and not the current 2002 DMERC guidelines.  We incorrectly stated that we followed the 2002 guidelines for CPAP supplies.

 

           The codes for supply kits were listed incorrectly in the July newsletter.  The correct codes for feeding supply kits are:  B4034 (syringe fed), B4035 (pump fed), and B4036 (gravity fed).

 

           For continuous rental (oxygen) claims, please bill with the RR modifier.  All claims submitted after September 6, 2002, without the RR modifier will be denied.  We have corrected our system to allow correct payment with the RR modifier. 

 

Procedure codes that require the RR modifier:

 

Oxygen Supplies/Equipment                  Equipment

E0424, E0431, E0434                         E0450 volume ventilator

E0439, E0441, E0442                         E0460 negative pressure ventilator

E0443, D0444, E1390                         E0500 IPPB machine  

E1405, E1406

 

Additional Information: When submitting a request for a renewal or continuation of a previous authorization, please submit a new request form with the current information.  The fax number for the DME unit is: (800) 352-6044.

 

We apologize for any inconvenience this may have caused.

 

Questions regarding this information may be directed to Colleen Osborn at (208) 334-5795, ext. 16.  Thank you for your continued participation in the Idaho Medicaid program.

 

PS/co