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Chapter 8
Section 6.1
Medical
Supplies And Dressings (Consumables)
Issue Date: October 25, 1993
Revision: C-1, March 10, 2017
1.0 DESCRIPTION
Medical supplies and dressings
(consumables) are those that do not withstand prolonged, repeated
use.
2.0 POLICY
2.1 Medical
supplies and dressings (consumables) are covered when related directly
to a covered medical condition and obtained from a medical supply
company, a pharmacy, or authorized institutional provider. Examples
of covered medical supplies and dressings include disposable syringes for
diabetics, colostomy sets, irrigation sets, elastic bandages, TED®
hose, and external surgical garments designed for use following
a mastectomy.
2.2 Generally,
the allowable charge of a medical supply item will be under $100.
Any item over this amount must be reviewed to determine whether
it would not qualify as a Durable Equipment
(DE) item. If it is, in fact, a medical supply item and does not
represent an excessive charge, it can be considered for benefits
under this policy.
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