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DMEPOS fee schedule update

Device Regulation Alert: Safety, Compliance and Reimbursement News, June 25, 2007

CMS issued its quarterly update to the DMEPOS fee schedule which becomes effective July 1, 2007. Among the changes are added HCPCS codes, fee schedule revisions and instructions on modifiers.

CMS added fee schedule amounts for HCPCS code E0762 (a "transcutaneous electrical joint stimulation device system") for claims with dates of service January 1, 2007 or later. It also added three codes (K0553, K0554, K0555) for an oral/nasal mask device and replacement cushions and pillows for claims with dates of service July 1, 2007 or later.

Effective for dates of service on or after July 1, 2007, suppliers should use modifier KL for diabetic supplies delivered by mail for several identified HCPCS codes. The modifier must be used when supplies are ordered by phone, internet, mail, or other remote means and then delivered by U.S. mail or "common carrier."

The update also included a change to CMS classification of ultraviolet light therapy systems from Class III devices to Class II devices. With the change suppliers should no longer use modifier KF on claims with HCPCS codes E0691, E0692, E0693, and E0694 for dates of service January 1, 2005 or later.

To read the transmittal, click here.

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