Durable Medical Equipment and Coding in Sports Medicine
The use of durable medical equipment (DME) is a common part of a sports medicine practice. Proper documentation and billing protocols must be followed to insure proper payment and to attest to medical necessity and reasonableness of the item(s) dispensed. Medicare covers certain durable medical equipment, prosthetics, orthoses, and supplies (DMEPOS) items. Items are covered for both chronic and acute conditions (i.e., postoperatively) as long as the coverage criteria are met. Other insurance carriers have their own specific policies regarding coverage of DME items.