Cms 846 2025

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The document is a Certificate of Medical Necessity (CMS-846) for pneumatic compression devices, issued by the Centers for Medicare & Medicaid Services. It outlines the necessary information required for certification, including patient and supplier details, diagnosis codes, and physician attestation. The form is used to establish medical necessity for patients requiring pneumatic compression therapy due to conditions like chronic venous insufficiency or lymphedema.

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Click ‘Get Form’ to open the CMS-846 in the editor.
In Section A, select the appropriate certification type (Initial, Revised, or Recertification) and enter the relevant dates. Fill in the patient’s name, address, telephone number, and Medicare ID.
Provide your supplier information including name, address, telephone number, and either NSC or NPI number. Specify the place of service and list all supply item/service procedure codes.
Complete Section B by estimating the length of need in months and entering diagnosis codes. Answer questions 1-5 regarding medical necessity for pneumatic compression devices.
In Section C, describe all items ordered along with their costs. Ensure this section is completed by the supplier.
Finally, have the physician complete Section D by signing and dating to certify that all information is accurate and complete.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (157 Votes)
2017	4.4 Satisfied (66 Votes)
2005	4.4 Satisfied (181 Votes)

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