Effective And Implementation Dates:

• The updates are effective and to be implemented on July 1, 2024, except for HCPCS codes E2298 and K1007, which were effective April 1, 2024.

• Purpose of the Update:

• The update aims to implement fee schedule amounts for new and existing codes and apply changes in payment policies. The update process is outlined in the Medicare Claims Processing Manual, chapter 23, section 60.

• Changes in Payment Policies:

• Payment adjustments based on the DMEPOS Competitive Bidding Program (CBP) and other statutory and regulatory requirements.

• Specific Updates:

• HCPCS Code K1007: Finalized fee schedule amounts effective April 1, 2024.
• HCPCS Code E2298: Revised fee schedule amounts for capped rental wheelchair accessories effective April 1, 2024. The revised amounts include $201.40 for months 1-3 and $151.05 for months 4-13, totaling $2,114.70 for 13 months.

• Additional Information:

• The document includes detailed requirements for Medicare Administrative Contractors (MACs) and instructions for processing claims with the new fee schedule amounts.
• There are specific references to regulatory sections and legislative acts, such as the Social Security Act and the Consolidated Appropriations Act, 2023.