Multi-specialty: DMEPOS Transmittal R13842CP Changes — Update Claims by October 5
Transmittal R13842CP affects DMEPOS billing practices — update claims system by October 5, 2026.
Action required by
October 5, 2026
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
Effective October 5, 2026, CMS Transmittal R13842CP implements a quarterly update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). This transmittal introduces new coding and billing requirements that must be integrated into existing systems by the effective date to avoid disruptions in reimbursements.
Regulatory Background CMS regularly updates DMEPOS coding as a part of its ongoing evaluation of services and technologies under the Medicare program. These updates aim to ensure billing aligns with current clinical practices and cost data, reflecting the most recent enhancements in medical technology and patient care. The changes driven by this transmittal also stem from feedback received during previous quarters, facilitating better patient care and access to necessary equipment through Medicare.
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Quick answers
What should we do if we do not see specific codes mentioned in the transmittal?
Refer to the CMS transmittal documentation for a detailed list of new and modified codes, as specific details are not included in the summary.
How can we ensure that our billing systems are updated correctly in time for the October deadline?
Auditing billing systems against the requirements specified in Transmittal R13842CP will help ensure compliance before the October 5, 2026 effective date.
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.