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US · guidance

CMS Pub. 100-04, ch. 20, § 50.1

Payment for Replacement of Capped Rental Items

activein force · 2026-08-25 – presentas-observed

A3-3629

Effective May 1, 1991, if a capped rental item of equipment has been in continuous use

by the patient, on either a rental or purchase basis, for the equipment's useful lifetime or

if the item is lost or irreparably damaged, the patient may elect to obtain a new piece of

equipment. The MAC determines the reasonable useful lifetime for capped rental

equipment but in no case can it be less than five years. This is a different requirement

from that in the following section about prosthetic devices that are not capped rental.

Computation of the useful lifetime is based on when the equipment is delivered to the

beneficiary, not the age of the equipment. If the patient elects to obtain a new piece of

equipment, payment is made on a rental or purchase basis.

History

(Rev. 1, 10-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
c6c9eb7450cf750af462af540953da77fbde356e3b992a374e8f59e4af973224
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