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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 /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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