US · guidance
CMS Pub. 100-04, ch. 20, § 130.4
Billing for Certain Customized Items
A3-3629, B3-4107.8
Due to their unique nature (custom fabrication, etc.), certain customized DME cannot be
grouped together for profiling purposes. Claims for customized items that do not have
specific HCPCS codes are coded as E1399 (miscellaneous DME). This includes
circumstances where an item that has a HCPCS code is modified to the extent that neither
the original terminology nor the terminology of another HCPCS code accurately
describes the modified item.
Suppliers and providers other than HHAs bill the A/B MAC (B) or DME MAC. HHAs
bill their A/B MAC (HHH), using revenue code 0292 along with the HCPCS.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a3d3c94b7b23b434e89458c1e229953a45838963c5ea8262bff5bb761b930b59
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.