Title 42

PART 414 SUBPART D

Subpart D - Payment for Durable Medical Equipment and Prosthetic and Orthotic Devices

• 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).
• 55 FR 23441, June 8, 1990, unless otherwise noted.

42:3.0.1.1.1.4.3.1	SECTION 414.200	414.200 Purpose.
42:3.0.1.1.1.4.3.2	SECTION 414.202	414.202 Definitions.
42:3.0.1.1.1.4.3.3	SECTION 414.210	414.210 General payment rules.
42:3.0.1.1.1.4.3.4	SECTION 414.220	414.220 Inexpensive or routinely purchased items.
42:3.0.1.1.1.4.3.5	SECTION 414.222	414.222 Items requiring frequent and substantial servicing.
42:3.0.1.1.1.4.3.6	SECTION 414.224	414.224 Customized items.
42:3.0.1.1.1.4.3.7	SECTION 414.226	414.226 Oxygen and oxygen equipment.
42:3.0.1.1.1.4.3.8	SECTION 414.228	414.228 Prosthetic and orthotic devices.
42:3.0.1.1.1.4.3.9	SECTION 414.229	414.229 Other durable medical equipment - capped rental items.
42:3.0.1.1.1.4.3.10	SECTION 414.230	414.230 Determining a period of continuous use.
42:3.0.1.1.1.4.3.11	SECTION 414.232	414.232 Special payment rules for transcutaneous electrical nerve stimulators (TENS).
42:3.0.1.1.1.4.3.12	SECTION 414.234	414.234 Prior authorization for items frequently subject to unnecessary utilization.
42:3.0.1.1.1.4.3.13	SECTION 414.236	414.236 Continuity of pricing when HCPCS codes are divided or combined.
42:3.0.1.1.1.4.3.14	SECTION 414.238	414.238 Establishing fee schedule amounts for new HCPCS codes for items and services without a fee schedule pricing history.

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