Ordering External Breast Prostheses and Supplies
This revised Product comprises Subregulatory Guidance for Ordering External Breast Prostheses and Supplies and its content is based on publicly available https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55426, and https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c15.pdf#page=129, and https://www.cms.gov/medicare-coverage-database/search.aspx.
CMS policy or operation subject matter experts also reviewed/cleared this product.
This product educates providers about improper payments for ordering post-mastectomy breast prostheses and supplies.
Revisions to this Product include following content updates:
• Information about meeting Medicare Program medical record documentation (page 2)
The previous version of this Product is available to the public and currently posted on the CMS website https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ExternalBreastProsthesis-MLN3754874.pdf
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 20, 2022
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.