US · guidance
CMS Pub. 100-04, ch. 30, § 150.1.6
Assigned Claims Denied on the Basis of Not Being Reasonable
and Necessary
(Rev. 1, 10-01-03)
For assigned claims denied on the basis of not being reasonable and necessary under
§1862(a)(1) of the Act, the term “medical equipment and supplies” means:
• Durable medical equipment, as defined in §1861(n) of the Act;
• Medical supplies, as described in §1861(m)(5) of the Act;
• Prosthetic devices, as described in §1861(s)(8) of the Act;
• Orthotics and prosthetics, as described in §1861(s)(9) of the Act;
• Surgical dressings, as described in §1861(s)(5) of the Act; or
• Such other items as the Secretary may determine.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
fe95a51b71ccfaf536698824444754556d41b283a675c5566e6e7a47b545830e
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