Medicaid DMEPOS Fee Schedule

DMEPOS Fee Schedule 

The Provider Type 33 DMEPOS Fee Schedule is online at
http://dhcfp.nv.gov/Rates/PT/PT%2033%20DME%20Fee%20Sched%2005-06-09%20ds.pdf


 Services/Products are listed according to their Healthcare Common Procedure Coding System (HCPCS), Level II alpha/numeric code.

The DMEPOS fee schedule provides coverage information and more.

• Non-covered codes show “999” in the “Flag Code” column; all other listed codes are covered.
• Service limits (if applicable) are shown in the “Limits” column.
• Prior authorization requirements are shown in the “PA Type” column on the fee schedule. In the “PA Type” column:
• “00” means that PA is not required.
• “01” means that PA is always required.
• “02” means that PA is required to exceed the
service limitations.