The 2023 CMS DME Fee Schedule can be found here:
https://www.cms.gov/medicaremedicare-fee-service-paymentdmeposfeescheddmepos-fee-schedule/dme23
This fee schedule is typically updated quarterly. Updates usually result in links for four different fee schedules for each previous calendar year and however many of the current year’s fee schedules have been posted to date. The number of current-year fee schedules available on the site will vary based on how many quarters of the current year have passed. As this is being written in December 2022 only the first quarter 2023 fee schedule is posted at the moment.
Navigating the DMEPOS Fee Schedule Site
For each calendar year, the link for the first quarter fee schedule is labeled, “DMEXX-A” with the “XX” representing the last two digits of the calendar year. Typically, the final letter changes to “B” for the second quarter, “C” for the third quarter, and “D” for the fourth quarter. For example, the link for the current fee schedule, effective January, 2023, is “DME23 – A”.
2023 Increases!
The 2023 CMS DME Fee Schedule contains some nice increases to the fees associated with the surgical dressings available from AMERX. For example, the fee associated with A6010 (Collagen based wound filler, dry form, sterile, per gram of collagen), used for HELIX3-CP® Collagen Powder, increased from $37.89 per unit in 2022 to $41.19 per unit in 2023.
When 30 units are dispensed, this results in a $99 increase compared to last year! There are also comparable increases associated with the fees for collagen pads, foam pads, and calcium alginate dressings.
2023 HCPCS Coding Guidance Booklet
AMERX Health Care’s 2023 HCPCS Coding Guidance is now available for download by physicians that dispense AMERX products. This guide includes an easy reference for billing AMERX products.
Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC, CPMA
Dr. Lehrman is a podiatrist practicing in Fort Collins, CO and operates Lehrman Consulting, LLC which provides consultation services regarding coding, compliance and documentation. Dr. Lehrman is a Certified Professional Coder and Certified Professional Medical Auditor. He serves as a staff liaison at the AMA CPT® Editorial Panel meetings where CPT codes are created, edited, and deleted. He is a Diplomate of the American Board of Foot and Ankle Surgery, Fellow of the American Society of Podiatric Surgeons, and is recognized as a “Master” by the American Professional Wound Care Association. Dr Lehrman is a Fellow of the American Academy of Podiatric Practice Management, Past Director of the American Professional Wound Care Association Board of Directors, and is a Past Chairman of the Board of the American Society of Podiatric Surgeons. Dr. Lehrman is also on the editorial advisory board of the journal WOUNDS.
