COVID-19
COVID-19 Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Guidance
Guidance for DMEPOS suppliers regarding requirements for face-to-face/in-person encounters, non-enforcement of clinical indications for coverage found in specific NCDs, LCDs and Policy Articles, claim instructions, CMN and DIF instructions, and ICD-10 coding has been published. Please review the entire publication: CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency Joint DME MAC Article.
Most frequently used resources and CR modifier usage information:
- CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency – 06.03.22
- Creating a Roadmap for the End of the COVID-19 Public Health Emergency – 08.18.22
- Correct Use of the KX Modifier During the COVID-19 PHE – 05.14.20
- Medicare FFS Response to the PHE on COVID-19 MLN
[MLN Matters SE20011] – 09.08.21
- Use of CR Modifier and "COVID-19" Narrative on Specified Claims Due to the COVID-19 PHE – 05.06.21
- Billing of Part B Drugs and Enteral Nutrition to DME MACs During COVID-19 Pandemic – Dispensing Amounts – 05.11.20
- Beneficiary Notice Delivery Guidance in Light of COVID-19 – 04.02.20
- Signature Requirements on Proof of Delivery During the COVID-19 Pandemic – 05.21.20
- Good Cause Rights When Filing Appeals During the PHE – 06.09.21
The CR modifier for COVID-19 is only effective for dates of service on or after 03/01/20 and for the duration of the PHE. Please review: CR Modifier for COVID-19 PHE – 02.02.22
Resources by Topic
Information below has been categorized by topic. For additional information on specific topics/subjects, please refer to the links listed below each topic.
CMS Emergencies, Waivers and Flexibility Information
- Creating a Roadmap for the End of the COVID-19 Public Health Emergency – 08.18.22
- CMS Current Emergencies Page
- Coronavirus Waivers & Flexibilities web page
- COVID-19 Blanket Waiver FAQs
Updated: 11.21.22