CMS backpedals on miscellaneous codes

Wednesday, October 7, 2015

BALTIMORE – CMS has scrapped plans to discontinue several codes for miscellaneous DME.

In a notice this week, the agency simply stated: “We appreciate the comments received on the proposed coding changes below and will continue to consider the issue further. Additional information will be provided on the status of these coding changes in the future.” 

The changes were slated to take effect Jan. 1, 2016.

In June, CMS proposed replacing HCPC codes E1399 and K0108 with six new codes to reflect more accurate payment of Medicare claims.

Industry stakeholders, particularly those specializing in complex rehab, raised objections, citing concerns over the accompanying reimbursement, which, in some cases, was based on payment amounts from the 1980s.