Home / medicare dme providers near me / Exclusion-List - Oregon
Statewide PIP Denominator Exclusion Criteria: Diagnoses and CPT codes related to: Neoplasm-related pain, end-of-life care, palliative care, or hospice careICD *TitleICD9 338.3Neoplasm-related pain (acute) (chronic)ICD10 G89.3* CMS required the use of ICD10 codes for claims with a date of service on or after October 1, 2015.Diagnoses and CPT codes related to: end-of-life care, palliative care, or hospice care DX??V66Convalescence and palliative care?V667Encounter for palliative care?Z515Encounter for palliative care????CPT??4350F Cnslng Provided Symp MngmntCounseling Provided On Symptom Management, End Of Life Decisions, And Palliation (Dem)4553F Pt Asst Re End Life IssuesPatient Offered Assistance In Planning For End Of Life Issues (Als)99377 Hospice Care SupervisionPhysician Supervision Of Patient Hospice Services, 15-29 Minutes Per Month99378 Hospice Care SupervisionPhysician Supervision Of Patient Hospice Services, 30 Minutes Or More Per MonthG0065 Physician Supervision Of A Hospice PatientPhysician Supervision Of A Hospice PatientG0151 Hhcp-Serv Of Pt,Ea 15 MinServices Performed By A Qualified Physical Therapist In The Home Health Or Hospice Setting, Each 15 minutesG0152 Hhcp-Serv Of Ot,Ea 15 MinServices Performed By A Qualified Occupational Therapist In The Home Health Or Hospice Setting, EachG0153 Hhcp-Svs Of S/L Path,Ea 15mnServices Performed By A Qualified Speech-Language Pathologist In The Home Health Or Hospice Setting,G0154 Hhcp-Svs Of Rn,Ea 15 MinDirect Skilled Nursing Services Of A Licensed Nurse (Lpn Or Rn) In The Home Health Or Hospice SettingG0155 Hhcp-Svs Of Csw,Ea 15 MinServices Of Clinical Social Worker In Home Health Or Hospice Settings, Each 15 MinutesG0156 Hhcp-Svs Of Aide,Ea 15 MinServices Of Home Health/Hospice Aide In Home Health Or Hospice Settings, Each 15 MinutesG0157 Hhc Pt Assistant Ea 15Services Performed By A Qualified Physical Therapist Assistant In The Home Health Or Hospice SettingG0158 Hhc Ot Assistant Ea 15Services Performed By A Qualified Occupational Therapist Assistant In The Home Health Or Hospice SetG0182 Hospice Care SupervisionPhysician Supervision Of A Patient Under A Medicare-Approved Hospice (Patient Not Present) RequiringG0337 Hospice Evaluation PreelectiHospice Evaluation And Counseling Services, Pre-ElectionG8768 Doc Med Reas No Lipid ProfleDocumentation Of Medical Reason(S) For Not Performing Lipid Profile (E.G., Patients With PalliativeG8892 Doc Med Reas No Ldl-C TestDocumentation Of Medical Reason(S) For Not Performing Ldl-C Test (E.G. Patients With Palliative GoalG9380 Off Assis Eol IssPatient Offered Assistance With End Of Life Issues During The Measurement PeriodG9381 Doc Med Reas No Offer EolDocumentation Of Medical Reason(S) For Not Offering Assistance With End Of Life Issues (Eg, PatientG9382 No Off Assis EolPatient Not Offered Assistance With End Of Life Issues During The Measurement PeriodG9433 Death, Nhres, HospiceDeath, Permanent Nursing Home Resident Or Receiving Hospice Or Palliative Care Any Time During The MG9433 Death, Nhres, HospiceDeath, Permanent Nursing Home Resident Or Receiving Hospice Or Palliative Care Any Time During The MHC100 Omap: Nf Hospice CareOmap: Nf Hospice CareQ5001 Hospice Or Home Hlth In HomeHospice Or Home Health Care Provided In Patient'S Home/ResidenceQ5002 Hospice/Home Hlth In Asst LvHospice Or Home Health Care Provided In Assisted Living FacilityQ5003 Hospice In Lt/Non-Skilled NfHospice Care Provided In Nursing Long Term Care Facility (Ltc) Or Non-Skilled Nursing Facility (Nf)Q5004 Hospice In SnfHospice Care Provided In Skilled Nursing Facility (Snf)Q5005 Hospice, Inpatient HospitalHospice Care Provided In Inpatient HospitalQ5006 Hospice In Hospice FacilityHospice Care Provided In Inpatient Hospice FacilityQ5007 Hospice In LtchHospice Care Provided In Long Term Care FacilityQ5008 Hospice In Inpatient PsychHospice Care Provided In Inpatient Psychiatric FacilityQ5009 Hospice/Home Hlth, Place NosHospice Or Home Health Care Provided In Place Not Otherwise Specified (Nos)Q5010 Hospice Home Care In HospiceHospice Home Care Provided In A Hospice FacilityS0255 Hospice Refer Visit NonmdHospice Referral Visit (Advising Patient And Family Of Care Options) Performed By Nurse, Social WorkS0257 End Of Life CounselingCounseling And Discussion Regarding Advance Directives Or End Of Life Care Planning And Decisions, WS0271 Home Hospice Case 30 DaysPhysician Management Of Patient Home Care, Hospice Monthly Case Rate (Per 30 Days)S5150 Unskilled Respite Care /15mUnskilled Respite Care, Not Hospice; Per 15 MinutesS5151 Unskilled Respitecare /DiemUnskilled Respite Care, Not Hospice; Per DiemS9126 Hospice Care, In The Home, PHospice Care, In The Home, Per DiemT2042 Hospice Routine Home CareHospice Routine Home Care; Per DiemT2043 Hospice Continuous Home CareHospice Continuous Home Care; Per HourT2044 Hospice Respite CareHospice Inpatient Respite Care; Per DiemT2045 Hospice General CareHospice General Inpatient Care; Per DiemT2046 Hospice Long Term Care, R&BHospice Long Term Care, Room And Board Only; Per Diem
Does Medicare cover DME? Medicare will only cover your DME if your doctors and DME suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare. If your doctors or suppliers aren’t enrolled, Medicare won’t pay the claims they submit.