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Issue Number - Name
0016 - CPM Billed Without Total Knee Replacement
Review Type
Automated
Claim Type
DME Supplier
Region and State
RAC 5
All States
Date Approved
2017-02-01

Description

CPM billed for patients who have not received a total knee replacement or total knee revision.

Affected Codes

  • E0935

Applicable Policy References

  • CMS Pub. 100-4, Medicare Claims Processing Manual, Chapter 20, 30.2.1 
  • National Coverage Determination for Durable Medical Equipment Reference List (280.1) effective 5/5/2005

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