Modifier KV

DMEPOS item subject to DMEPOS Competitive Bidding Program that is furnished as part of a professional service

Beneficiaries with Original Medicare who live in or travel to a competitive bidding area (CBA) and are prescribed off-the-shelf (OTS) back braces or OTS knee braces must use a competitive bidding contract supplier unless an exception applies.

  1. Non-Contract Physicians and other treating practitioners (physician assistants, nurse practitioners, and clinical nurse specialists);

From January 1, 2021, thru December 31, 2023, the CBP will only be in effect for OTS back and knee braces. Starting January 1, 2024, there will be a temporary gap in the DMEPOS CBP.

Please follow instructions for billing on the Competitive Bid Browse by DMEPOS Category page for details on billing.



Last Updated Jan 16 , 2024