By Carrie Nienberg, RN, CPC, Director of Clinical Operations
While patient owned DMEPOS is being repaired, you as the supplier may provide a loaner piece of equipment and be paid for the temporary replacement by Medicare, if billed correctly.
K0462 indicates a temporary replacement for patient owned equipment being repaired, any type.
In the narrative section of the claim, you must include all of the following:
- For the equipment being repaired, include a narrative description, manufacturer and brand name/number
- For the replacement equipment, include a narrative description, manufacturer and brand name/number
- Description of what was repaired
- Explanation of why the repair took more than one day to complete
Effective October 1st 2019, your claim will deny for missing information if you do not include this information.
Want to make sure the repairs you are doing are payable? Does the patient qualify for new equipment? Let the experts at The van Halem Group help! Our team provides clincial prescreen services to help reduce risk of denials and overpayments. Contact us today for more information!