Effective June 24, 2023, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will enhance the bill processing of durable medical equipment (DME) supplies and accessories.
A separate DEEOIC Durable Medical Equipment (DME) supplies and accessories authorization is not required for the following conditions:
- A rental authorization is approved and on file for the related DME, and service dates are within the rental period.
- A purchase authorization is approved and on file for the related DME, and service dates are within three (3) years of the purchase period.
Providers will not need to submit a correction to an existing DME authorization for the associated supplies or accessories if an approved authorization is on file.
| HCPCS Code | Description | Associated DME Codes |
|---|---|---|
| A4615 | A4615 Cannula, nasal | E1390, E1391, E1392 |
| A4616 | Tubing (oxygen), per foot | E1390, E1391, E1392 |
| A4620 | Variable concentration mask | E1390, E1391, E1392 |
| E0441 | Stationary oxygen contents, gaseous, one month’s supply = 1 unit | E0424, E0425 |
| E0442 | Stationary oxygen contents, liquid, one month’s supply = 1 unit | E0440 |
| E0443 | Portable oxygen contents, gaseous, one month’s supply = 1 unit | E0430, E0431 |
| E0444 | Portable oxygen contents, liquid, one month’s supply = 1 unit | E0434, E0435 |
| E0555 | Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter | E1390, E1391, E1392 |
| E1353 | Regulator | E1390, E1391, E1392 |
In addition, new utilization limits are added to restrict certain DME codes for DEEOIC.
| EOB Number - Message | Procedure Codes | Modifier |
|---|---|---|
| 80907 - DME supply of nasal cannula is limited to 500 units per 180 days | A4615 | N/A |
| 80908 - DME supply of oxygen tubing is limited to 1000 units per 180 days | A4616 | N/A |
| 80909 - DME supply of concentration mask is limited to 40 units per 180 days | A4620 | N/A |
| 80910 - DME supply of humidifier is limited to 20 units per 180 days | E0555 | N/A |
| 80911 - DME supply of regulator is limited to 10 units per 180 days | E1353 | N/A |
| 80912 - DME oxygen system rental is limited to 12 units per 366 days | E0424, E0431, E0433, E0434, E0439 | RR |
For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.
- Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682
Posted Date