Medical supply codes reimbursement reference
Directs readers to consult sections 4.1–4.3 of the New York State Medicaid Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Procedure Codes and Coverage Guidelines for information on medical supply codes reimbursed by NYRx or DMEPOS FFS providers.
No material clinical or coverage changes in this revision.
Policy Summary
This informational notice directs readers to consult sections 4.1–4.3 of the New York State Medicaid Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Procedure Codes and Coverage Guidelines for details on medical supply codes reimbursed when billed by NYRx or DMEPOS FFS providers.
What Providers Need to Know
Where to find reimbursement details
Providers (NYRx or DMEPOS FFS) must refer to sections 4.1–4.3 of the NYS Medicaid Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Procedure Codes and Coverage Guidelines for information on reimbursable medical supply codes.
Key Terms
Relevant Codes
Policy Changes
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