Ohio Admin. Code 5160-10-33 - DMEPOS: commodes
(A)
Payment may be
made for a commode if both of the following criteria are met:
(1)
A medical
condition, documented in the individual's medical record, prevents the
individual from accessing the toilet facilities of the individual's place of
residence; and
(2)
The commode has been prescribed by a qualified
practitioner.
(B)
Additional coverage criteria are specific to particular
commodes, and the satisfaction of these criteria must be ocumented in the
individual's medical record:
(1)
For an extra-wide or heavy-duty commode, either the
individual weighs at least three hundred pounds or, if the individual weighs
less than three hundred pounds, the medical necessity of the commode is
established in detail.
(2)
For a commode with detachable arms, the individual has
a documented functional need (such as extra open space for transferring to and
from the commode).
(C)
Payment will not
be made for the concurrent dispensing of both a commode and a bedpan.
Replaces: 5160-10-33
Notes
Promulgated Under: 119.03
Statutory Authority: 5164.02
Rule Amplifies: 5164.02
Prior Effective Dates: 08/17/2009
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