The CMS Web site contains a jurisdiction spreadsheet by procedure code. Access the most current DMEPOS jurisdiction list for 2009 (PDF, 152 KB). The jurisdiction list begins on page 6.

Generally, claims for DME, prosthetics, orthotics and supplies are submitted to the DME Medicare Administrative Contractor (DME MAC) unless the device or item is implanted. Claims for implanted DME must be submitted to Palmetto GBA.

• Jurisdiction 1: Noridian Administrative Services (NAS)
• Ohio: National Government Services (NGS)
• South Carolina: CIGNA Government Services (CGS)
• West Virginia: CIGNA Government Services (CGS)

• Injections that are administered 'incident to' a physician’s service are submitted to Palmetto GBA
• Contact lenses and glasses are submitted to the DME MAC
• Generally, if the item or service is related to an implanted prosthetic device or DME, claims are submitted to Palmetto GBA
• If you submit a claim to the wrong carrier, the claim will be rejected as a billing error (remark code MA130)
• Claims for DME, prosthetics, orthotics and supplies all require the name and NPI of the referring/ordering provider, even if this provider is the same provider who is submitting the claim. When these services are submitted without the referring/ordering provider’s name and NPI, they will be rejected (remark code MA130) and must be resubmitted on a new claim with this information.

• The CMS DME center at www.cms.hhs.gov/center/dme.asp