MS & RP modifier in DME billing

Maintenance and Servicing

MS Maintenance and servicing.

Maintenance and servicing is covered for capped rental items prior to January 1, 2006. Payment will no longer be made for maintenance and servicing on capped rental items in which the first rental month occurs on or after January 1, 2006.

Maintenance and servicing payments will be made for oxygen equipment every six months, starting six months after the beneficiary owns the equipment. The payment will be paid in 15 minute intervals and shall not exceed 30 minutes.



Replacement and Repair

The RP modifier indicates replacement and repair.

Equipment the beneficiary owns may be replaced in cases of loss or irreparable damage without a physician's order. Claims involving replacement equipment necessitated because of wear or a change in the patient's condition must be supported by a current physician's order.

Repairs to equipment the beneficiary owns are covered when necessary to make the item serviceable. If the expense for repair exceeds the estimated expense of purchasing or renting another item for the remaining period of medical need, no payment can be made for the amount of the excess. Repairs of rented equipment are not covered.

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