DME Transmittal R13846CP: July 2026 DMEPOS Fee Schedule — Verify Now
CMS Transmittal R13846CP updates DMEPOS fee schedule values effective July 6, 2026 (verify against source document) — confirm charge master and encoder settings now.
Action required by
July 6, 2026
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
CMS Transmittal R13846CP delivers the July 2026 quarterly update to the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule, with an effective date of July 6, 2026 (verify against source document). This is an administrative transmittal — not a Final Rule or LCD — and it updates allowable payment amounts within the DMEPOS Payment System for claims processed through the DME Medicare Administrative Contractors (DME MACs). The single most important compliance implication: any DMEPOS claim submitted on or after July 6, 2026 (verify against source document) must reflect the updated fee schedule values, or it will be adjudicated at an incorrect allowable and may require adjustment.
Regulatory Background
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Quick answers
Does Transmittal R13846CP affect competitive bidding program rates in addition to non-bid DMEPOS fee schedule rates?
The source document for R13846CP does not specify whether competitive bid area contract rates are revised by this quarterly update. Refer directly to the transmittal at the CMS URL provided and cross-reference with your DME MAC's competitive bidding program rate tables to determine whether your contract rates are impacted.
If a DMEPOS claim was submitted before July 6, 2026 but adjudicated after that date, which fee schedule applies?
DMEPOS fee schedule updates implemented via transmittal typically apply based on the adjudication date in the DME MAC shared systems. Claims submitted before July 6, 2026 (verify against source document) but processed after go-live may be adjudicated at updated rates. Confirm the specific adjudication logic with your DME MAC, and reconcile remittance advice against R13846CP values for any claims spanning the effective date.
Where can I obtain the specific HCPCS codes and updated allowable amounts from Transmittal R13846CP?
The complete HCPCS code list and revised fee schedule amounts are contained in the attachments to Transmittal R13846CP, available directly from CMS at https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13846cp. The transmittal attachments, not the transmittal header document alone, contain the line-level code and rate data needed to update your fee schedule tables.
Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.