be utilized in the fabrication of sockets for
prosthetic devices and components for custom
orthoses while actively discouraging the use of
technology to produce this type of insert. article, make announcements on our website and
send e-blast emails out to our members when the
final word comes down on the reimbursement
amount.
CMS made modifications to the language
at issue and on February 2, 2018 released a
Medline Matters article announcing that the
new code, K0903 direct carved with CAM
technology from a rectified CAD model created
from a digitized scan of the patient, would
be required for use on any devices produced
through this technology and dispensed on or
after April 1, 2018. The reimbursement amount
has still not been finalized for the new code.
Initial information received from CMS indicates
that it will be 14% below the local rate for A5513
based on the fact that the device is easier to
produce. Obviously, PFA disagrees that this
stance and is making CMS leadership aware of
our concerns. We will publish a follow up to this Here is the Medlearns article:
PDF
https://www.cms.gov/
Outreach-and-Education/
Medicare-Learning-Network-
MLN/MLNMattersArticles/
Downloads/MM10436.pdf
/// FINAL RULE REGARDING UPDATED
DMEPOS SUPPLIER STANDARDS
PUBLISHED
CMS published their Final Rule on updated
Durable Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS) supplier
Current Pedorthics | March/April 2018
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