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CMS Proposes New DMEPOS Coverage Policies and Payment Rates, and Seeks to Codify HCPCS Application, Benefit Category and Payment Determination Processes | King & Spalding

Orthotics (leg, arm, back, and neck braces). Enteral/parenteral nutrition. DME (and related accessories and supplies other than drugs), such as oxygen and oxygen equipment, wheelchairs, infusion pumps, and nebulizers. 4 Vision items and services, such as prosthetic lenses. Other items and services that are statutorily excluded from Medicare coverage for which CMS or other government or private insurers have identified a claims processing need for a HCPCS Level II code, such as hearing aids. These HCPCS processes would not apply to items and services described in the oral health and dentistry codes that begin with the letter “D” (CDT codes), nor would then apply to items and services coded internally by CMS and that are not based on an external coding application.

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