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DME MACs Publish Guidance on Claim Submission Instruction for Post-PHE


The following article was published today as a Joint DME MAC publication.


Claim Submission Instruction Post-PHE – Continued Use of Modifier CR and COVID Narrative

After the end of the Public Health Emergency on May 11, 2023, suppliers will require a method for indicating that claims for certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items were specifically excluded from enforcement of the clinical indications of coverage referenced in Interim Final Rules CMS-1744-IFC and CMS-5531-IFC. The National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) impacted by these interim rules are:


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