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CMS adjusts oxygen rates

CMS adjusts oxygen rates

WASHINGTON – CMS has published an adjusted fee schedule for oxygen therapy for April 2021 that doesn’t include a percentage reduction to meet the budget neutrality requirement.

The adjustments result in an increase in fee schedule amounts ranging from $6.72 to $8.19 in former competitive bidding areas; $5.17 to $5.43 in other non-rural areas; and $4.14 to $6.82 in non-contiguous and rural areas, according to the VGM Group.

The fee schedule amounts are not retroactive – they’re only effective for dates of service on or after April 1, 2021.

The adjusted fee schedule is effective for the following codes: E0424, E0431, E0433, E0434, E0439, E0441, E0442, E0443, E0444, E0447, E1390, E1391, E1392, E1405, E1406, and K0738.

A COVID-19 relief package passed by Congress late last year removed the budget neutrality requirement for oxygen therapy in rural areas.


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