Get Paid for Certain Supply Code Rate Changes

In the July quarterly update for the 2010 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule, released May 7, codes A4336, E1036, L8031, L8032, L8629, and Q0506 were added to the HCPCS Level II file effective Jan. 1. The fee schedule amounts for these codes were established as part of this update and are effective for claims with service dates on or after Jan. 1. At the time of the release, contractors were instructed not to adjust claims for these codes with service dates on or after Jan. 1 that already were processed.

Since then, the Centers for Medicare & Medicaid Services (CMS) has rescinded that instruction and is now instructing contractors (in Transmittal 1993, dated July 1) to adjust claims for codes A4336, E1036, L8031, L8032, L8629, and Q0506 with service dates on or after Jan. 1, if brought to their attention.

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