Skip to Main Content
Issue Number - Name
0065 - DME CPAP without Obstructive Sleep Apnea Diagnosis
Review Type
Automated
Claim Type
DME Supplier, DME by Physician
Region and State
RAC 5
All States
Date Approved
2017-09-07

Description

To identify improper payments for automated claims for CPAP with the missing diagnosis of Obstructive Sleep Apnea, for DME Suppliers and DME by Physician, using error code 2500, including all places of services for Part B DME claims.

Affected Code(s)

  • E0601

Applicable Policy References

  • CMS Pub. 100-3, Medicare National Coverage Determinations Manual, Section 240.4