Get Equipment Authorization Form

The beneficiary has been informed of the purchase and rental options and has elected to purchase the item. Claims must specify whether equipment is rented or purchased. For purchased equipment, the itemized bill or claim must also indicate whether equipment is new or used.

DME is required by the FARs for flight at or above FL240 if VOR navigation is used. Some instrument approach procedures require DME—these always have "DME" intheir title (e.g., VOR DME RWY 5 or LOC DME BC A). Other approaches use DME to defineoptional step-down fixes to permit lower minimums.

Durable Medical Equipment HCPCS Code range E0100-E8002 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. ... E0424-E0487.

Modifier RA - The RA modifier is described as replacement of a DME item, due to loss, irreparable damage, or when the item has been stolen. Use of the RA modifier implies that the entire DMEPOS item (base equipment) is being replaced.

UE — USED DURABLE MEDICAL EQUIPMENT PURCHASE. This modifier is used for used DME items that are purchased. When using the UE modifier, you are indicating you have furnished the beneficiary with a used piece of equipment.

HCPCS code E1399 for Durable medical equipment, miscellaneous as maintained by CMS falls under Accessories for Oxygen Delivery Devices .

Use of the KX modifier indicates that the supplier has ensured coverage criteria for the DMEPOS billed is met and that documentation does exist to support the medical necessity of item. Documentation must be available upon request.