DEEOIC DME Supplies and Accessories Updates
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