[Provider] Oxygen benefits for Medicare members

[Provider Notification]

Effective January 1, 2009, for Medicare members who have had 36 months
of oxygen and equipment costs reimbursed, Medicare will pay only for
contents (oxygen).  

 

After reviewing Medicare's policy and considering input from New England
Medical Equipment Dealers (NEMED), the Department has decided how to
proceed.  MaineCare will follow the 36-month cap on oxygen for members
who have both MaineCare and Medicare .  All other members will continue
to get the current oxygen benefit.  

 

The Department will refer to Medicare's Explanation of Benefits (EOB) to
track the 36-month limit.   When the time limit has passed, then the
"content only" codes should be billed.  

 

These are new content only E codes:

 

E0441  STATIONARY GASEOUS CONTENTS

 

E0442 STATIONARY LIQUID CONTENTS

 

E0443 PORTABLE GASEOUS CONTENTS

 

E0444 PORTABLE LIQUID CONTENTS

 

 

Effective April 1, 2009 Medicare and MaineCare will no longer accept
code E1340 for repairs. Two new codes replace this code.   

 

K0739  REPAIR OR NONROUTINE SERVICE FOR DURABLE MEDICAL EQUIPMENT OTHER
THAN OXYGEN REQUIRING THE SKILL OF A TECHNICIAN, LABOR COMPONENT, PER 15
MINUTES

 

K0740  REPAIR OR NONROUTINE SERVICE FOR OXYGEN EQUIPMENT REQUIRING THE
SKILL OF A TECHNICIAN, LABOR COMPONENT, PER 15 MINUTES

 

If you have questions, please feel free to contact MaineCare Billing &
Information line at 1-800-321-5557 Option #8.  

 

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