When the Statistical Analysis Durable Medical Equipment Regional Carrier and the four Durable Medical Equipment Regional Carriers (DMERCs) perform a Coding Verification Review and fail to reach a consensus coding decision, they sometimes assign the product or procedure to a general category. Therefore, various dissimilar products and procedures are usually assigned to this category. These products in this category don’t have a universal definition, use guidelines, or have a rate on the DMERC Fee Schedule. Yet, each product listed under this category has an individual action, indication, contraindication, and application and removal process. It remains the clinician’s responsibility to understand each product before using it.

When submitting claims for products or procedures in this category, the provider and supplier must check with the payer for the supporting documentation that’s required.