US · guidance
CMS Pub. 100-04, ch. 20, § 140.2
Billing for HHA Medical Supplies
HHA-206.4, HHA-219.1, HHA-461 (partial), HO-228.3, SNF-260.3
Medical supplies are items that, due to their therapeutic or diagnostic characteristics, are
essential in enabling personnel to carry out effectively the care the physician has ordered
for the treatment or diagnosis of the patient's illness or injury. Medical supplies fit into
two categories. They are classified as:
• Routine because they are used in small quantities for patients during the usual
course of most home visits; or
• Nonroutine because they are needed to treat a patient's specific illness or injury in
accordance with the physician's plan of care and meet further conditions discussed
in more detail below.
Both routine and non-routine medical supplies are included in the home health PPS rate
and are not separately payable if the beneficiary is under a home health plan of care. The
CMS publishes a list of these medical supplies annually, identified by HCPCS code. If
no home health plan of care is in place, non-routine medical supplies are reported
separately on the bill and the supplies are payable on 34x bills.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
2daab9a4e1a59f9e435f809b30eaff8bb5fb111cdc87d582940ed9e7bd4be0b2
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