How do you bill a durable medical equipment?
Mia Ramsey
Published Mar 24, 2026
When billing for durable medical equipment (DME), use the appropriate HCPCS code and modifier(s) to describe the items being billed. Also include an ICD-9/ICD-10 diagnosis code indicating the medical condition for which the item has been prescribed.
Can medical devices be taxed?
The medical device tax, part of the Affordable Care Act, is a 2.3 percent excise tax on the price of taxable medical devices sold in the United States. The tax has been suspended since 2016, but the current moratorium will expire by the end of 2019, unless Congress extends it or repeals the tax outright.
What are DME procedure codes?
Durable Medical Equipment HCPCS Code range E0100-E8002
- E0100-E0159. Walking Aids and Attachments.
- E0160-E0162. Sitz Bath/Equipment.
- E0163-E0175. Commode Chair and Supplies.
- E0181-E0199. Pressure Mattresses, Pads, and Other Supplies.
- E0200-E0239. Heat, Cold, and Light Therapies.
- E0240-E0249. Bathing Supplies.
- E0250-E0373.
- E0424-E0487.
Are medical devices tax-exempt?
When you are the retailer of tangible personal property, you are required to report and pay tax unless an exemption applies—for example, under certain conditions, sales of medicines, as defined in Regulation 1591, Medicines and Medical Devices, are exempt from tax, as are other sales described later in this publication …
How long is a DME Rx good for?
Prescriptions may be written for “Lifetime Need” or “99 Months”. Such a prescription may be used for the prescribed equipment as often as needed to continue therapy. If a prescription notes a number of refills, it will be valid to dispense the listed equipment the number of times shown on the prescription.
What is an L code?
An L code is a level II healthcare common procedural coding system (HCPCS) code. An HCPCS code is a five-character alphanumeric code. The first character is a letter that describes the type of service billed and the other four numeric characters describe the specific type of service.
Is there tax on medical equipment in Canada?
Medical and assistive devices are generally zero-rated throughout the distribution chain, regardless of who acquires them. Furthermore, they may be imported into Canada or brought into Québec tax-free, regardless of who conducts these transactions.