Fee Schedule Lookup Tool

The Fee Schedule Lookup Tool provided by the PDAC contractor is called the:

DME Coding System (DMECS)

 

View instructions and tool highlights in the DMECS Guide.

Drug and Oral Anti-Cancer Drug fee schedules are not available in DMECS. View them on the Noridian DME Fee Schedules webpage.

The search tools within DMECS include:

Search by HCPCS Information

Search by Keyword or HCPCS Code for either Active HCPCS Codes or All HCPCS Codes.

All or part of the word or code may be used.

Source data is the current HCPCS file.

Search for Modifier

Search for a modifier description.

Either the modifier or part of the description may be used.

Source data is the current HCPCS file.

Search DMEPOS Product Classification List

Search the Product Classification List (PCL) for products that have been assigned a code by the PDAC using one or more of the following:

  • Manufacturer/Distributor Name
  • HCPCS Code
  • Product Name
  • Product Model
  • Classification

Only the products coded by the PDAC, or the former SADMERC are listed.

Fee Schedule Lookup

Search for a fee schedule for a certain HCPCS code and/or Date of Service.

Source data is the current CMS fee schedule.

Search for Rural ZIP Code

Search for a ZIP Code to determine whether it is a Rural ZIP code.

Source data is the current CMS ZIP Code file.

Export Quarterly Fee Schedule

The quarterly fee schedule can be exported to CSV.

CMS Fee Schedule

Direct Link to quarterly DMEPOS Fee Schedule on CMS website

 

Last Updated Aug 08, 2018