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October 12, 2022

Fees for FDA Class III Adjunctive Continuous Glucose Monitors (CGMs) Included in the DMEPOS Fee Schedule October 2022 Quarterly Update

CMS added fee amounts to the DMEPOS fee schedule file effective for dates of service on or after October 1, 2022 for:

  • Class III adjunctive CGM monthly supplies code and modifier combination A4238KF
  • Class III adjunctive CGM code and modifier combinations E2102KFNU, E2102KFRR and E2102KFUE

For complete information, read the CMS publication: MM12918 - DMEPOS Fee Schedule: October 2022 Quarterly UpdateExternal PDF.

The 2022-4th quarter DMEPOS Fee Schedule files are available in the DMEPOS Fee Schedule & Parenteral and Enteral Nutrition (PEN) Jurisdiction B Fee Schedule search tool.

Fees for codes E2102NU, E2102RR, E2102UE and A4238 are not listed in the 2022-2nd quarter, 2022-3rd quarter, and 2022-4th quarter DMEPOS Fee Schedule files. Payment for the adjunctive CGM monitor or receiver and monthly supplies are calculated in accordance with regulations for gap-filling until fee schedule amounts are established. Additional information about gap-filling is available in Supplier Manual Chapter 10 – Pricing.PDF Also refer to MM12654 – April Quarterly Update for 2022 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee ScheduleExternal PDF.


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