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Single Payment Amounts

Below you will find new single payment amounts (SPAs) for items included in Round 2 Recompete and the national mail-order recompete of the DMEPOS Competitive Bidding Program. Existing payment amounts will be replaced with these new single payment amounts for selected items when the program is implemented on July 1, 2016, in Round 2 Recompete and the national mail-order recompete competitive bidding areas (CBAs).

UPDATES:

Update #1

1) HCPCS code E0147 (walker, heavy duty, multiple braking system, variable wheel resistance) has been removed from Round 2 Recompete of the DMEPOS Competitive Bidding Program.

2) If you are being offered a contract for furnishing items in the Standard Mobility Equipment and Related Accessories product category or General Home Equipment and Related Supplies and Accessories product category, you should be aware that the following items are being 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 single payment amounts (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). To determine which CBAs are affiliated with what region, please see the Round 2 Recompete and the National Mail-Order Recompete CBA fact sheet. 

  • In the PDF file for individual product categories, page numbers for each CBA 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 each product category, tabs for each product are located along the bottom of the spreadsheet. You may click on the name of the product category to go directly to the SPAs for that particular product category.

 


last updated on 12/15/2016

 

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