Below you will find new single payment amounts (SPAs) for items included in Round 1 2017 of the DMEPOS Competitive Bidding Program. Existing payment amounts will be replaced with these new SPAs for selected items when the program is implemented on January 1, 2017, in the Round 1 2017 competitive bidding areas (CBAs).
UPDATES:
Update #1
- HCPCS code E0147 (walker, heavy duty, multiple braking system, variable wheel resistance) has been removed from Round 1 2017 of the DMEPOS Competitive Bidding Program.
- If you are being offered a contract for furnishing items in the Standard Mobility Equipment and Related Accessories product category, you should be aware that the following items were reclassified to the capped rental payment class effective July 1, 2016, in accordance with a final rule published on December 2, 2013 (78 FR 72224):
E0140 E0149 E0985 E1020 E1028 E2228 E2368
E2369 E2370 E2375 K0015 K0070 E0955 E0197
The SPAs calculated for these items have been established in accordance with regulations at
42 CFR 414.408(h)(1), whereby payment for capped rental DME is made in an amount equal to 10
percent of the SPA for purchase of new equipment for each of the first three months, and 7.5
percent of the SPA for purchase of new equipment for months 4 through 13.
Update #2
To reflect changes in the 2017 HCPCS file, the HCPCS codes and single payment amounts for B9000, B9000MS, and E0628 will be removed from the competitive bidding files, effective January 1, 2017. HCPCS codes B9000, B9000MS, and E0628 crosswalk to HCPCS codes B9002, B9002MS, and E0627, respectively.
SPAs for each CBA/product category combination are available for download below in both Adobe Acrobat portable document format (PDF) and Microsoft Excel format (XLS).
- In the PDF file for individual product categories, page numbers for each CBA and product category are listed in the table of contents. You may click on the CBA or page number to go directly to the SPAs for that particular product category or product.
- In the XLS file for individual product categories, tabs for each product are located along the bottom of the spreadsheet. You may click on the tab to go directly to the SPAs for that particular product.