For diabetic claims, which items require span dates?
Am I allowed to dispense more than one month’s supply for diabetic supplies? Yes, you may dispense up to a 3 month supply. Make sure to remember the span dates. When I bill for two items that are required for both the right and left, may I bill it on one line or must I issue two line items? You may bill it as one line item but append two modifiers, LTRT with two units. On CPAPs, to determine continued coverage beyond the first 3 months, must I contact both the physician and the patient? No, you may contact either the treating physician or the patient. Make sure to document this in writing. Do support surfaces require a CMN? Only group 3 support surfaces require a CMN. A statement from the ordering physician is required for groups 1 and 2 support surface. Your DMERC manual provides a sample form for group 1 and group 2 respectively.
