Know your DME HCPCS Codes

2. Know your DME HCPCS Codes • In DME medical billing, your DME coders require correct HCPCS codes along with correct modifiers that are used for providing more details about the equipment. If your medical coders are unable to use modifiers or not using them in the correct manner, then the claims may get denied by the insurance company. Some common DME modifiers include RR- rental, UE- purchase of used equipment, and NU- purchase of new equipment. • When a laboratory demand, request for DME is being filled, medical coders will be needed for ICD-10 codes for a patient’s diagnosis. To use an appropriate HCPCS code for the DME item, many HCPCS codes need a modifier. Modifiers are used to provide more details about the DME item. e.g. The modifier might indicate to HMSA that an item is new, rented on a capped basis, or rented. For capped rentals, modifiers differentiate which month’s rental is being billed. • If your billers use these modifiers incorrectly then the claim will be rejected. To speed up this process of your claims, show the first-month rental by adding the appropriate modifier code and bill your claims in successive order. • HCPCS Code Range: • E0100-E8002: Durable Medical Equipment • 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

3. Know your DME HCPCS Codes • E0200-E0239: Heat, Cold, and Light Therapies • E0240-E0249: Bathing Supplies • E0250-E0373: Hospital Beds and Associated Supplies • E0424-E0487: Oxygen Delivery Systems and Related Supplies • E0500-E0500: Intermittent Positive Pressure Breathing Devices • E0550-E0601: Humidifiers and Nebulizers with Related Equipment • E0602-E0604: Breast Pumps • E0605-E0606: Other Breathing Aids • E0607-E0620: Monitoring Equipment • E0621-E0642: Patient Lifts and Support Systems • E0650-E0676: Pneumatic Compressors and Appliances • E0691-E0694: ULTRAVIOLET LIGHT THERAPY SYSTEMS • E0700-E0710: Safety Devices • E0720-E0770: Stimulation Devices • E0776-E0791: Infusion Pumps and Supplies • E0830-E0948: Traction and Other Orthopedic Devices • E0950-E1036: Wheelchair Accessories • E1037-E1039: Transport Chairs • E1050-E1070: Fully Reclining Wheelchairs • E1083-E1086:Hemi-Wheelchairs

4. Know your DME HCPCS Codes • E1087-E1090: Lightweight, High-strength Wheelchairs • E1092-E1093: Heavy Duty, Wide Wheelchairs • E1100-E1110: Semi-reclining Wheelchairs • E1130-E1161: Standard Wheelchairs • E1170-E1200: Amputee Wheelchairs • E1220-E1228: Other Wheelchairs and Accessories • E1229-E1239:Pediatric Wheelchairs • E1240-E1270: Lightweight Wheelchairs • E1280-E1298: Heavy Duty and Special Wheelchairs • E1300-E1310: Whirlpool Baths • E1352-E1406: Accessories for Oxygen Delivery Devices • E1500-E1699: Dialysis Systems and Accessories • E1700-E1702: Jaw Motion Rehabilitation Systems • E1800-E1841: Extension/Flexion Rehabilitation Devices • E1902-E1902: Communication Boards • E2000-E2120: Miscellaneous Pumps and Monitors • E2201-E2295: Manual Wheelchair Accessories • E2300-E2398: Power Wheelchair Accessories

5. Know your DME HCPCS Codes • E2402-E2402: Wound Therapy Pumps • E2500-E2599: Speech Generating Devices, Software, and Accessories • E2601-E2625: Wheelchair Seat and Back Cushions • E2626-E2633: Wheelchair Mobile Arm Supports • E8000-E8002:Pediatric Gait Trainers • HCPCS codes range from E0100 to E8002 for Durable Medical Equipment is the standard code set that is significant for health insurance providers and Medicare to provide reimbursement.