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DME Equipment

Annette Posted Thu 20th of November, 2014 13:19:43 PM

I need to bill for a TENS Unit. The code I was told to use is E0730 for the unit. I do not know what to do to distinguish between first billing for it as a rental (30-90 days) and then to bill it as a purchase. Is there a modifier or is the code different for a rental and a purchase? I was also told we can bill for the delivery using code A9901.

SuperCoder Answered Thu 20th of November, 2014 14:44:09 PM

Thanks for your question. The code choices for TENS units and supplies include:
A4557 - Lead wires (e.g., apnea monitor), per pair
A4595 – Electrical stimulator supplies, two leads, per month (e.g., TENS, NMES)
A4630 – Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient
E0720 – Transcutaneous electrical nerve stimulation (TENS) device, two lead, localized stimulation
E0730 – Transcutaneous electrical nerve stimulation (TENS) device, four or more leads, for multiple nerve stimulation.

The modifiers associated with TENS include:
RR Modifier: Rental
NU Modifier: New

A9901; Dme delivery, set up, and/or dispensing service component of another hcpcs code is the code that you can use for delivery. See the link below for additional information.

https://www.supercoder.com/coding-newsletters/my-neurology-coding-alert/pain-management-your-3-step-guide-to-submitting-successful-tens-claims-despite-cms-snub-124642-article

Annette Posted Thu 20th of November, 2014 15:03:02 PM

Do you know if you need to be a DME supplier?

SuperCoder Answered Thu 20th of November, 2014 15:16:45 PM

Some practices will have a vendor supply the practice with DME supplies and the office will then bill for the supplies. You would only bill if you are supplying the patient with the equipment.

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