April 2018

CMS updates 2018 Medi­care fee schedules

The Centers for Medicare and Medicaid Services (CMS) has posted a Medicare fee schedule update effective April 1, 2018, announcing that diabetic shoe inserts fabricated using scanning devices will be now reimbursed using temporary HCPCS code K0903 at the same rate as inserts made over a positive model of the patient’s foot (A5513). The fee schedule for K0903 is set at $43.56, the current Medicare fee schedule for A5513.

In addition, CMS has posted an April update to its 2018 Medicare durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) fee schedule, effective for Medicare claims for service on or after January 1, 2018. The 2018 Medicare fee schedule for orthotic and prosthetic services increased by 1.1% over 2017 rates, a net reflection of the 1.6% increase in the consumer pricing index for urban areas from June 2016 through June 2017, plus the annual multifactor productivity adjustment of –0.5%. Medicare fee for service payments continue to be reduced by 2% due to sequestration, which remains in effect until 2025. The complete 2018 Medicare fee schedule is available for download from the CMS website.

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