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All DME (Durable Medical Equipment) Is billed as a HCPCS code. Billing just he HCPCS code is not enough to qualify as a clean claim. You also have to have a valid diagnosis code aka ICD-9 code that states the medical condition that the item is being used for. IE if you were in an auto accident the DX will be one code. If you jumped out of a swing it will be something else. If the DX and HCPCS codes don't match the claim will be rejected by the insurer. I will suggest for this if you are a doctors office trying to bill this consult your AMA coding book. If you are a patient trying to submit this for insurance reimbursement, have your ordering physician code the claim correctly for you. If you just hand write it in the HCFA - 1500 form your self it will potentially flag for investigation.

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