Article Detail - JD DME
2022 Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Fee Schedule File Revisions - Resolved 12/05/22
Provider/Supplier Type(s) Impacted: Not applicable.
Reason Codes: Not applicable.
Claim Coding Impact: Not applicable.
Description of Issue: CMS has recalculated the 2022 fees for 179 HCPCS code and modifier combinations and has issued a revised 2022 DMEPOS fee schedule file to the DME MACs. The revised payment amounts are fee increases in the non-contiguous areas of Alaska, Hawaii, Puerto Rico, and Virgin Islands. The revised 2022 fee file along with a list of the 179 HCPCS code and modifier combinations affected can be viewed at https://www.cms.gov/medicaremedicare-fee-service-paymentdmeposfeescheddmepos-fee-schedule/dme22-r
Noridian Action Required: Mass adjustments will be initiated to pay claims at the revised fee.
Provider/Supplier Action Required: Not applicable.
Proposed Resolution/Solution: Mass adjustments will be initiated to pay claims at the revised fee.
12/05/22 - Noridian initiated the mass adjustments.
Date Reported: 11/21/22
Date Resolved: 12/05/22
