How do I find out if member has same/similar on a DME HCPCs code E0486

How do I find out if a member has same/similar on a DME HCPCs code E0486?

Parents
  • To determine if a member has the same or similar DME for HCPCS code E0486, you should review the member’s claims history for prior DME equipment, specifically checking HCPCS codes in the same or related category. Verify the Same or Similar DME rules, including any lookback period, and confirm through the payer’s system or eligibility portal. If needed, contact the payer directly for confirmation before processing the claim. Retro Bowl

Reply
  • To determine if a member has the same or similar DME for HCPCS code E0486, you should review the member’s claims history for prior DME equipment, specifically checking HCPCS codes in the same or related category. Verify the Same or Similar DME rules, including any lookback period, and confirm through the payer’s system or eligibility portal. If needed, contact the payer directly for confirmation before processing the claim. Retro Bowl

Children
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