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 Files![]()
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 /jc/claims/payment_alerts.html.
Publication History
| November 15, 2022 | Originally Published |
| November 16, 2022 | The link to the Claims Alerts Webpage was added |

