DME reimbursement alerts

This transmittal implements the July 2026 quarterly update for DMEPOS billing, effective July 6, 2026. Billing teams should review updated fee schedules, coverage criteria, and any new or revised HCPC

This transmittal outlines updates to the Durable Medical Equipment (DME) billing policies effective July 6, 2026. Billing teams should review the changes to DME codes to ensure accurate processing of

The proposed Local Coverage Determination (LCD) for External Infusion Pumps may impact billing by clarifying coverage criteria which providers must meet. This could potentially lead to an increase in

The proposed LCD for Power Mobility Devices by CGS may significantly alter the reimbursement landscape for suppliers and providers. With clarity on the coverage criteria, healthcare professionals will

The proposed LCD on wheelchair options and accessories will likely affect billing practices by clarifying coverage and reimbursement policies for these items. This may lead to an increase in claims fo

The updated Local Coverage Determination (LCD) for wheelchair seating may significantly affect reimbursement for related services, potentially leading to increased scrutiny on claims. Providers should

The introduction of the new LCD for Speech Generating Devices (SGD) by CGS effective 10/01/2024 may significantly affect billing practices for providers. It is crucial for providers to understand the

The implementation of the new LCD for Power Mobility Devices may require a review of current billing practices to ensure compliance with updated guidelines. This could significantly impact reimburseme

The upcoming LCD on wheelchair options and accessories may significantly affect Medicare billing practices for durable medical equipment (DME). Providers will need to review the new guidelines to ensu

The new Local Coverage Determination (LCD) on External Infusion Pumps will provide clear guidelines for billing these devices. This update is essential for compliance and may impact reimbursement clai

The recent LCD for Lower Limb Prostheses by CGS, effective April 1, 2026, will significantly shape reimbursement patterns for prosthetic devices. Providers must ensure compliance with the new guidelin

The implementation of the LCD for Bowel Management Devices will affect the billing process for these items, requiring careful attention to compliance with the new guidelines starting April 1, 2026. Pr

The final LCD L33832 outlines coverage for tracheostomy care supplies effective January 1, 2024, for services in Kentucky and Ohio. Analysis of its implications for DME billing practices is essential

2026 DMEPOS Fee Schedule — official CMS fee schedule. Effective January 1, 2026.

On February 5, 2025, the Centers for Medicare & Medicaid Services (CMS) announced that Noridian Healthcare Solutions, LLC (Noridian), has been awarded a new contract for the administration of Medicare Fee-for-Service claims for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in Jurisdiction A.

On March 1, 2024, the Centers for Medicare & Medicaid Services (CMS) announced that Noridian Healthcare Solutions, LLC (Noridian) has been awarded a contract for the administration of Medicare Fee-for-Service claims for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington and Wyoming.

On March 28, 2023, the Centers for Medicare & Medicaid Services (CMS) announced that CGS Administrators, LLC (CGS) has been awarded a new contract for the administration of Medicare Fee-for-Service claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) in Jurisdiction B.

On August 20, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that CGS Administrators, LLC (CGS) has been awarded a new contract for the administration of Medicare Fee-for-Service claims for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in Jurisdiction C.

On March 28, 2023, the Centers for Medicare & Medicaid Services (CMS) announced that CGS Administrators, LLC (CGS) has been awarded a new contract for the admin

On March 1, 2024, the Centers for Medicare & Medicaid Services (CMS) announced that Noridian Healthcare Solutions, LLC (Noridian) has been awarded a contract fo

On February 5, 2025, the Centers for Medicare & Medicaid Services (CMS) announced that Noridian Healthcare Solutions, LLC (Noridian), has been awarded a new con

On August 20, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that CGS Administrators, LLC (CGS) has been awarded a new contract for the admi