CMS 848

Form #
CMS 848
Form Title
Certificate of Medical Necessity - Transcutaneous Electrical Nerve Stimulator (TENS) - DME 06.03B
Revision Date
2017-02-01
O.M.B. #
0938-0679
O.M.B. Expiration Date
2020-02-01
Special Instructions
This form must be used starting January 1, 2007.

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