March 2019

CMS Includes 7 OTS Knee Orthoses in 2021 Competitive Bidding Program

The Centers for Medicare & Medicaid Services (CMS) announced that the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program for dates of service beginning January 1, 2021, will include 7 off-the-shelf (OTS) knee orthoses. The affected codes are L1812, L1830, L1833, L1836, L1850, L1851, and L1852. According to CMS, the law requires that OTS orthotics or braces are included in the DMEPOS competitive bidding program, specifically, “orthotics which require minimal self-adjustment for appropriate use and do not require expertise in trimming, bending, molding, assembling, or customizing to fit to the individual.”

To access the DMEPOS Competitive Bidding Round 2021 Fact Sheet, visit https://www.cms.gov/newsroom/fact-sheets/dmepos-competitive-bidding-round-2021.

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