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2025 HCPCS code NR

Modifier NR is used to indicate that a Durable Medical Equipment (DME) item, initially rented and new at the time of rental, has been subsequently purchased by the patient.

Refer to HCPCS coding guidelines for proper usage and application of modifiers.

The medical necessity for the DME item itself should be documented, as per standard DME billing guidelines.

The supplier of the DME is responsible for applying this modifier.

IMPORTANT:Use modifier RR for rented items and NU for new purchased items without prior rental history.

In simple words: If you rented a new piece of medical equipment and later decided to buy it, the supplier will use the code "NR" to show that the equipment was new when you first rented it.

This modifier, appended to the HCPCS code for the DME item, signifies a change in ownership status from rental to purchase, where the equipment was new when the rental began. It allows for accurate billing and reimbursement adjustments, considering any prior rental payments made.

Example 1: A patient rents a new wheelchair and later decides to purchase it. The supplier uses modifier NR when billing for the purchase., A patient rents a new hospital bed for home use and subsequently purchases it. Modifier NR is appended to the purchase claim., A patient rents new crutches after surgery and decides to buy them after a few weeks. The supplier uses modifier NR to reflect the initial rental status.

Documentation should support the initial rental agreement date, the date of purchase, and the HCPCS code of the DME item.

** This modifier helps differentiate between new DME purchases and purchases of previously rented DME. It ensures accurate reimbursement by adjusting the purchase price based on prior rental payments.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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