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

 

            Last Updated Tue, 06 Dec 2022 14:54:04 +0000