For California workers' comp billing, the only DMEPOS that require an invoice for proof of purchase are those that qualify as a dangerous device.

The definition of dangerous device is set forth in California Business and Professions Code Section 4022:

The DME Fee Schedule allows a payer to request documented paid costs when reimbursing for dangerous devices as referenced in statute 5307.1.

Per Statute 5307.1 reimbursement for dangerous devices shall not exceed either:

1. The amount allowed per the fee schedule; or
2. 120% of the documented paid cost, not to exceed more than 100 percent of the documented paid plus $250.

California Labor Codes

§ 5307.1

California Code of Regulations (CCR)

§ 9789.60 Durable Medical Equipment, Prosthetics, Orthotics, Supplies

Division of Workers’ Compensation Websites

DWC FAQ - About durable medical equipment (DME) dispensed by physician

DWC Official Medical Fee Schedule

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