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Regulations last checked for updates: May 16, 2025
Title 42 - Public Health last revised: Apr 15, 2025
All Titles
Title 42
Chapter IV
Part 414
Subpart D - Subpart D—Payment for Durable Medical Equipment and Prosthetic and Orthotic Devices
§ 414.200 - Purpose.
§ 414.202 - Definitions.
§ 414.210 - General payment rules.
§ 414.220 - Inexpensive or routinely purchased items.
§ 414.222 - Items requiring frequent and substantial servicing.
§ 414.224 - Customized items.
§ 414.226 - Oxygen and oxygen equipment.
§ 414.228 - Prosthetic and orthotic devices.
§ 414.229 - Other durable medical equipment—capped rental items.
§ 414.230 - Determining a period of continuous use.
§ 414.232 - Special payment rules for transcutaneous electrical nerve stimulators (TENS).
§ 414.234 - Prior authorization for items frequently subject to unnecessary utilization.
§ 414.236 - Continuity of pricing when HCPCS codes are divided or combined.
§ 414.238 - Establishing fee schedule amounts for new HCPCS codes for items and services without a fee schedule pricing history.
§ 414.240 - Procedures for making benefit category determinations and payment determinations for new durable medical equipment, prosthetic devices, orthotics and prosthetics, surgical dressings, and therapeutic shoes and inserts.
authority:
42 U.S.C. 1302
,
1395hh
,
and
source:
55 FR 23441, June 8, 1990, unless otherwise noted.
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