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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.

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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