How Often DME fee schedule has been updated ?

Update Frequency


The DMEPOS fee schedule is updated annually to apply update factors and quarterly to include new codes and correct errors.

The July 2003 update of the DMEPOS fee schedule is located at http://cms.hhs.gov/manuals/pm_trans/AB03071.pdf

The October 2003 quarterly update is located at: http://cms.hhs.gov/manuals/pm_trans/AB03100.pdf




Contents of Fee Schedule File

The fee schedule file provided by CMS contains HCPCS codes and related prices subject to the DMEPOS fee schedules, including application of any update factors and any changes to the national limited payment amounts. The file does not contain fees for drugs that are necessary for the effective use of DME. It also does not include fees for items for which fee schedule amounts are not established. See Chapter 23 for a description of pricing for these. The CMS releases via program issuance, the gap-filled amounts and the annual update factors for the various DMEPOS payment classes:

• IN = Inexpensive/routinely purchased...DME;

• FS = Frequency Service...DME;

• CR = Capped Rental... DME;

• OX = Oxygen and Oxygen Equipment... OXY;

• OS = Ostomy, Tracheostomy and Urologicals...P/O;

• S/D = Surgical Dressings...S/D;

• P/O = Prosthetics and Orthotics...P/O;

• SU = Supplies...DME; and

• TE = TENS...DME,

The RHHIs need to retrieve data from all of the above categories. Regular FIs need to retrieve data only from categories P/O, S/D and SU. FIs need to retrieve the SU category in order to be able to price supplies on Part B SNF claims.