Practitioners: Are You Ordering Nebulizers and Inhalation Medication for Your Patient?

Medicare will consider coverage of a nebulizer, compressor and related accessories when the patient’s medical record verifies that the patient has a condition that requires certain inhalation medication. Under the DME benefit, Medicare does not reimburse for inhalation drugs unless they are administered with a nebulizer compressor; however, coverage may be available through other Medicare benefits such as Part D (e.g., for metered dose inhalers).

For any item provided based on physician contact with a DME supplier to provide the service, the supplier must have a valid standard written order before submitting a claim to the Medicare program.

If you order this supply for your patients please review the latest required information the DME MAC will need in order to pay for those supplies for your patient.  You may review the entire article containing a check list of the requirements at each of the DME MAC websites.

• • CGS Medicare Physicians! Are You Ordering Articles

Reviewed 10/23/2023