September 26, 2022
Certificates of Medical Necessity (CMNs) and Durable Medical Equipment Information Forms (DIFs) Elimination Reminder
CMS is discontinuing the use of CMNS and DIFs for dates of service on or after January 1, 2023.
The following forms should not be submitted for claims with dates of service on or after January 1, 2023:
- CMS-484 – Oxygen
- CMS-846 – Pneumatic Compression Devices
- CMS-847 – Osteogenesis Stimulators
- CMS-848 – Transcutaneous Electrical Nerve Stimulators
- CMS-849 – Seat Lift Mechanisms
- CMS-854 – Section C Continuation Form
- CMS-10125 – External Infusion Pumps
- CMS-10126 – Enteral and Parenteral Nutrition
For services on or after January 1, 2023, Common Electronic Data Interchange (CEDI) will reject electronic claims submitted with a CMN or DIF.
Suppliers must continue to submit CMN and DIF information for claims with dates of service before January 1, 2023, if it's required. Refer to the Joint DME MAC Publication CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency for information on use of the CMN for oxygen and DIF for external infusion pumps during the COVID-19 Public Health Emergency (PHE).
For more information, see MLN Matters Article SE22002. Stay tuned for additional information and instructions for specific policies. CGS will share all updates on the website and through our email list.