Durable Medical Equipment
The DME policy changes that cause denials — caught early, priced to the fee schedule.
DME is the highest-denial-density corner of Medicare, and the coverage rules that drive those denials live in the four DME MAC jurisdictions — not the headline national rules. CLV Intelligence monitors all four, links every change to its government source, and prices its DMEPOS-listed equipment codes to your billing state’s exact DMEPOS rate. A code that isn’t on the fee schedule links to its source rather than showing a guess.
No credit card. No PHI. No account required to browse.
See it priced
The same DME item, priced to each state.
Real CMS DMEPOS rates, computed live by the same engine that prices your affected alerts. DME is paid by the beneficiary’s state of residence, so the allowable moves by state — in the product you set your billing state once and every DME alert uses it.
| DME item | HCPCS | CA | TX | FL | NY |
|---|---|---|---|---|---|
| CPAP device | E0601 | $50.44 | $50.91 | $51.94 | $50.04 |
| Oxygen concentrator | E1390 | $94.56 | $98.16 | $100.21 | $96.39 |
| Standard wheelchair | K0001 | $27.96 | $28.52 | $31.07 | $26.42 |
| Blood-glucose test strips | A4253 | $8.32 | $8.32 | $8.32 | $8.32 |
Source: CMS DMEPOS Fee Schedule (CA non-rural, RR, 2026). Rates are the published fee-schedule allowable for each state; a code with no published rate links to its source rather than showing a guess.
Priced to the DMEPOS fee schedule — by state
Every monitoring tool can tell you a policy changed. CLV tells you what it is worth. When a DME alert touches a code you bill, the exposure is priced from the actual CMS DMEPOS fee schedule — the real per-code payment amount, for your billing state, naming the government file it came from. DME is paid by the beneficiary’s state of residence, so a DME figure uses your primary billing state and is labeled a benchmark, never a guessed national number. A code the schedule doesn’t price renders “—”, never a fabricated dollar.
That is the difference between an alert and an appeal-ready, audit-ready figure a reviewer can trace back to CMS.
What we monitor for DME
All four DME MAC jurisdictions
Jurisdictions A, B, C, and D — Noridian and CGS — where DMEPOS coverage criteria and Billing & Coding articles actually live. Competitors that cover only A/B MACs miss this entirely.
DMEPOS LCDs & coding articles
Local Coverage Determinations and the Billing & Coding articles that set the documentation and coverage rules a DME claim is judged against.
HCPCS Level II changes
The E-, K-, L- and A-code additions, deletions, and coverage revisions that reprice or restrict the equipment and supplies you bill.
Fee-schedule updates, priced
Quarterly DMEPOS fee-schedule updates, surfaced with the affected codes and their per-state payment amounts — so a rate change is a dollar figure, not a footnote.
Why DME, and why us
CLV Intelligence was built by the team at CLV Media, LLC, drawing on nearly 15 years in medical device sales and leadership — where a single MAC coverage or coding change could quietly kill a product line weeks before anyone in billing saw the denials. DME is the corner of Medicare that background covers most directly, and the one the big coding tools watch least. This is the early-warning system that experience made obvious.
Recent DME jurisdiction alerts
View all →Real changes from the DME MAC jurisdictions, ranked by signal score. Every one links to its government source.
- 68LCD L33794: External Infusion Pumps — DME MAC
- 63LCD L33610: Intravenous Immune Globulin — DME MAC
- 55LCD L33789: Power Mobility Devices — DME MAC
- 55LCD L33826: Oral Anticancer Drugs — DME MAC
- 54LCD L39591: External Upper Limb Tremor Stimulator Therapy — DME MAC
- 54LCD L33787: Lower Limb Prostheses — DME MAC
- 53LCD L33718: Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea — DME MAC
- 53LCD L33692: Pressure Reducing Support Surfaces - Group 3 — DME MAC
Stop finding out from the remittance
Monitor all 16 MAC jurisdictions — including all four DME MACs — with every change priced, scored, and source-linked. No PHI enters the platform, so there’s no BAA and no security review.