DMEPOS Fee Schedules and Labor Payment

The durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) fee schedules contain fee schedule amounts, floors, and ceilings for each procedure code subject to the DMEPOS fee schedule payment methodology. Although these fee schedule amounts are contained in a single file, their calculations have been mandated by three separate payment methodologies: DME, prosthetic and orthotic, and surgical dressings.

Category Codes

CR: Capped Rental, IN: Inexpensive and Routinely Purchased, PO: Prosthetics & Orthotics, SD: Surgical Dressings

Fee Schedules and Jurisdiction Lists

Access DMEPOS, Drug, Pharmacy Supply and Dispensing, Fee Schedule Lookup Tool, Labor Payment Rates, Oral Anti-Cancer Drugs, and Parenteral and Enteral Nutrition from the applicable DME Jurisdiction website.

  • Jurisdiction A (JA) includes: CT, DE, ME, MD, MA, NH, NJ, NY, PA, RI, VT, Washington DC
  • Jurisdiction D (JD) includes: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, WY, Am.Samoa, Guam, N.Mariana Islands
     
Fees Jurisdiction Lists

 

Resource

Last Updated Oct 02, 2018