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  1. Regulations
    All Titles
  2. title 42
    Public Health
  3. chapter IV-i1
    CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
  4. part 414
    PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
  5. subpart D
    Subpart D—Payment for Durable Medical Equipment and Prosthetic and Orthotic Devices

Subpart D. Subpart D—Payment for Durable Medical Equipment and Prosthetic and Orthotic Devices

  • § 414.200 - Purpose.
  • § 414.202 - Definitions.
  • § 414.210 - General payment rules.
  • § 414.220 - Inexpensive or routinely purchased items.
  • § 414.222 - Items requiring frequent and substantial servicing.
  • § 414.224 - Customized items.
  • § 414.226 - Oxygen and oxygen equipment.
  • § 414.228 - Prosthetic and orthotic devices.
  • § 414.229 - Other durable medical equipment—capped rental items.
  • § 414.230 - Determining a period of continuous use.
  • § 414.232 - Special payment rules for transcutaneous electrical nerve stimulators (TENS).
  • § 414.234 - Prior authorization for items frequently subject to unnecessary utilization.
  • § 414.236 - Continuity of pricing when HCPCS codes are divided or combined.
  • § 414.238 - Establishing fee schedule amounts for new HCPCS codes for items and services without a fee schedule pricing history.
  • § 414.240 - Procedures for making benefit category determinations and payment determinations for new durable medical equipment, prosthetic devices, orthotics and prosthetics, surgical dressings, and therapeutic shoes and inserts.
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