A guideline informs coders that Medicare requires documentation from the prescribing physician showing that certain conditions have been met in order for a patient to receive Medicare-covered:

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Medicare requires documentation from the prescribing physician to ensure that specific conditions are met for a patient to receive coverage for diabetic shoes, fillings, and modifications. This is to ensure that the provided items are medically necessary and meet the program's criteria for coverage. Ostomy supplies, dialysis supplies, and dressings may also have documentation requirements, but diabetic shoes, fillings, and modifications are specifically known for needing detailed documentation to prove medical necessity according to Medicare guidelines.

A Guideline Informs Coders That Medicare Requires Documentation from the Prescribing