Modifier CR for Catastrophe Related Claims - Floods
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Modifier CR for Catastrophe Related Claims - Floods

In light of recent flooding in North Dakota, suppliers are reminded that the modifier CR signifies that a claim is due to a catastrophe or is related to a disaster.  Reporting this modifier will indicate emergency healthcare needs and facilitate Medicare claims processing for victims of a disaster.

CMS established the CR modifier (Catastrophe/Disaster Related), effective August of 2005 (MLN Matters 4106).

Medicare will cover replacement of DMEPOS items due to a natural disaster as outlined in Chapter 5 of the Jurisdiction D Supplier Manual:

"Replacement refers to the provision of an identical or nearly identical item.  Equipment which the beneficiary owns or is a capped rental item may be replaced in cases of loss or irreparable damage.  Irreparable damage refers to a specific accident or to a natural disaster (e.g., fire, flood, etc.)."

New capped rental periods will start for beneficiaries who need to replace equipment due to the flood.  Repairs of equipment will also be covered, per the usual guidelines, also outlined in Chapter 5 of the Jurisdiction D Supplier Manual.

CMS released the following regarding the flood situation in North Dakota.

North Dakota Floods - State of Emergency Notice

As a consequence of severe storms and flooding in the State of North Dakota, the President has declared a major disaster, and the Acting Secretary of the U.S. Department of Health and Human Services has declared that a public health emergency exists and has existed since March 13, 2009, in the State of North Dakota.  For more information, go to

This CMS Web site includes "downloads" that outline Medicare FFS policy during this emergency.


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