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November 15, 2022

Corrections Being Made to the 2022 DMEPOS Fee Schedule Amounts for Certain Items Furnished in Non-contiguous Areas (Alaska, Hawaii, Puerto Rico, and the U.S. Virgin Islands) - Revised

CMS identified errors in the fee schedule amounts for certain items furnished in non-contiguous areas and has released revised public use fee schedule files. A list of 179 HCPCS code and modifier combinations affected by the revisions is included as a separate public use file under the link below. The revised 2022 public use files are now available: View the Revised DMEPOS Fee Schedule FilesExternal website

Most of the corrections to the fee schedule amounts were minor resulting in an estimated aggregate underpayment of about $3,200 dollars in 2022 with percentage fee adjustments ranging from 0.5% to 5.1% for the certain items.

Less than 3,000 claims are affected by these errors and will be automatically reprocessed by the DME MACs.

For more information about the adjustments, please visit https://www.cgsmedicare.com/jc/claims/payment_alerts.html.

Publication History

November 15, 2022 Originally Published
November 16, 2022 The link to the Claims Alerts Webpage was added

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