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CGS Administrators, LLC

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November 15, 2013

Oxygen Replacement Claims and the RA Modifier

CGS would like to remind suppliers about the appropriate use of the RA (Replacement of DME item) modifier on Oxygen claims.

The RA modifier must be added to the oxygen equipment HCPCS code E1390, only if both of the following apply:

As a reminder, the RA modifier should not be used when billing for a new initial rental that follows a 60+ day break in need.

Suppliers are also reminded that using the RA modifier when not required may result in a delay in claim processing.

Suppliers should review the entire Oxygen LCDExternal Websiteand Policy ArticleExternal Websitefor additional information on coding, coverage and documentation requirements.

Related Education: DME MAC Jurisdiction C Webinars

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