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May 12, 2022

The Fee Schedules Section Gets a Fresh Update!

CGS is excited to share about the new Fee Schedules section update designed to help suppliers find the correct fee amounts for DMEPOS items.

The main Fee Schedules tab now has 4 sub-sections:

  • Competitive Bidding
  • DMEPOS Fee Schedule
  • Drug, Dispensing, & Supply Fees
  • Labor Fees

The new Competitive Bidding page provides instructions on how to

  • Access the adjusted fees for former Competitive Bidding Areas (CBAs) during a gap period in the DMEPOS Competitive Bidding Program (CBP)
  • Access Single Payment Amounts (SPAs) for off-the-shelf (OTS) back braces and OTS knee braces

The new Labor Fees page makes it easy to find yearly updates to the labor payment amounts for repairs and service HCPCS codes K0739, L4205, and L7520 for each state in Jurisdiction C.

We also added additional information to the DMEPOS Fee Schedule page to educate suppliers about the fees available for download or in the database. The fees on this page are based on the DMEPOS and Parenteral and Enteral Nutrition (PEN) Fee Schedule Files provided by CMS, and they are specific to each state in the jurisdiction. This information does not include fees for items that are paid based on adjusted fees for former CBAs or other pricing methodologies.

If you have thoughts or comments on these updates, please share your feedbackExternal website!

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