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July 2022

Reminder: Members can’t receive prescriptions for DME/P&O items through telehealth visits

As we told you in an October 2018 Record article, effective Nov. 1, 2018, health care providers aren’t able to prescribe or issue durable medical equipment and prosthetic and orthotic supplies during telehealth visits. A telehealth visit doesn’t meet the medical necessity requirements for prescribing these items. Prescription and issuance resulting from a telehealth visit may be subject to audit review and recovery.
A telehealth visit includes:

  • Phone call
  • Both email and postal mail
  • Video chat

All telehealth formats are excluded from issuing DME and prosthetic and orthotic items.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.