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October 11, 2021

October Quarterly Update for 2021 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule (MM12453)

Effective Date: October 1, 2021

Implementation Date: October 4, 2021

Refer to MLN Matters Article MM12453External PDF for information about

  • The Coronavirus Aid, Relief, and Economic Security (CARES) Act, 2020 requirements for fee schedule adjustments, and updates to ZIP code files
  • Specific coding and pricing issues for new DMEPOS codes added to the HCPCS file, effective October 1, 2021
  • Continue to use the KU modifier when billing the wheelchair accessories and seat and back cushion used in connection with a Group 3 power wheelchair, complex rehabilitative or certain manual wheelchair. A list of the wheelchair accessory and seat and back cushion codes given with Group 3 power wheelchairs (HCPCS codes K0848-K0864) is available in Attachment A of CR 12453External PDF.


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