Headline News

CMS Releases Oxygen Billing Info


Through its listserv, CMS has released the following guidance on
oxygen and oxygen equipment, including billing for contents and
replacement equipment as well as documentation guidelines.

The agency said an MLN Matters article will be forthcoming that
incorporates the information included in its message, which

Medicare Billing Requirements and
Policies for Replacement of Oxygen Equipment and Oxygen

This message is for suppliers and home health
agencies that furnish oxygen and oxygen equipment to Medicare

Suppliers of oxygen and oxygen equipment need to be aware of the
procedures for submitting claims for oxygen and oxygen equipment
following the enactment of the Medicare Improvements for Patients
and Providers Act of 2008 (MIPPA) on July 15, 2008.

Section 144(b) of MIPPA took effect on January 1, 2009, and
repeals the requirement for you to transfer title to oxygen
equipment to the beneficiary after the 36 month payment cap
mandated by the Deficit Reduction Act of 2005. Section 144(b) of
MIPPA also establishes new payment rules and supplier
responsibilities following the 36 month payment period. See MLN
Matters number SE0840 for additional information about these new
rules. This listserv message provides specific instructions for
submitting claims for oxygen contents and replacement of oxygen


New HCPCS Modifier for Replacement of DME
Effective January 1, 2009, the following modifiers was added to the
Healthcare Common Procedure Coding System (HCPCS):

RA – Replacement of a DME item;

This modifier is to be used on claims for replacement of oxygen
equipment with dates of service on or after January 1, 2009. HCPCS
modifier RP, which was discontinued effective December 31 2008,
remains in effect for claims with dates of service prior to January
1, 2009.