powered by LeadingAge New York
  1. Home
  2. » Providers
  3. » Nursing Homes
  4. » Reimbursement
  5. » Medicare
  6. » Update to DMEPOS Fee Schedule

Update to DMEPOS Fee Schedule

For Calendar Year (CY) 2013, CMS is applying an update factor of 0.8 percent to the CY 2012 
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule.
The fee schedule amounts are updated based upon the percentage increase in the consumer 
price index for all urban consumers (CPI-U) for the 12-month period ending with June of 2012 
net of the change in the economy-wide productivity equal to the 10-year moving average of 
changes in non-farm business Multi-Factor Productivity (MFP). Thus, the 1.7 percentage 
increase in the CPI-U is reduced by the 0.9 percent MFP adjustment, resulting in a net increase 
of 0.8 percent for 2013.
 
CMS is also updating the 2013 national monthly payment amount for stationary oxygen 
equipment (HCPCS codes E0424, E0439, E1390 and E1391), effective for claims with dates of 
service on or after Jan. 1, 2013. This payment amount must be adjusted on an annual basis, as 
necessary, to ensure budget neutrality of the payment class for Oxygen Generating Portable 
Equipment (OGPE). The updated 2013 monthly payment amount includes the 0.8 percent 
update factor for the 2013 DMEPOS fee schedule, increasing from $176.06 to the new rate of 
$177.36.
 
For complete details, please refer to CMS Transmittal R2632CP.
 
Contact: Patrick Cucinelli, pcucinelli@leadingageny.org, 518-867-8827