The Centers for Medicare & Medicaid Services (CMS) issued the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) final rule (CMS-1738-F, CMS-1687-F, and CMS-5531-F) that updates payment and benefit category policies and other provisions for DMEPOS items.

The final rule:

  • Establishes methodologies for adjusting the Medicare DMEPOS fee schedule amounts
  • Finalizes procedures for making benefit category determinations and payment determinations for DME and other new items and services under Medicare Part B
  • Classifies adjunctive continuous glucose monitors as DME under Medicare Part B
  • Finalizes certain DME payment provisions that were included in 2 interim final rules

Source: U.S. Centers for Medicare & Medicaid Services (CMS)

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