The following is the correct information: Effective for dates of service on or after July 1, 2009, the reimbursement rate for benefit procedure code 9-K0739 is $13.41. This procedure code is a benefit of both Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program for clients of all ages.
Procedure code 9-K0739 may be billed with prior authorization for non-warranty repairs of durable medical equipment (DME) and may be reimbursed to home health DME suppliers and medical DME suppliers in the home setting. Procedure code 9-K0739 will be denied if it is billed with the same date of service as procedure code 9-E1340 by any provider.
For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.