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Thread: DME E1399 Reimbursement

  1. #1

    Default DME E1399 Reimbursement

    AAPC: Back to School

    I have a company that is billing for a product that "the exact service" does not yet show in HCPCS books yet.

    I thought that if Medicare hasn't created a HCPCS code yet, then there is no reimbursement (or, if one wants to downcode to a similar service - that is allowed).

    Anyone know the rule on this ?


  2. #2
    Join Date
    Apr 2007


    E1399 DME Miscellaneous, is for items not coded, such as parts for a wheelchair or hospital bed controller. You must put in the HAO record the manufacturer, product number and explaination of what the item is, then they process it for individual consideration.

  3. #3


    Another example is I use E1399 to bill bed extension kits

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