DMEPOS Laws & Regulations

The below shows the federal regulations and notices for the DMEPOS Fee Schedule.

2023

2021

2020

Code of Federal Regulations

The Code of Federal Regulations (CFR) is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. It is divided into 50 titles that represent broad areas subject to Federal regulation. Title 42 is the Public Health section.

Section 409.45 - Dependent Services (ZIP)
Section 409.50 - DME Home Health Coinsurance (ZIP)
Section 410.10 - Medical and Other Health Services: Included Services (ZIP)
Section 410.12 - Medical and Other Health Services: Basic Conditions and Limitations (ZIP)
Section 410.29 - Limitations on Drugs and Biologicals (ZIP)
Section 410.36 - Medical Supplies, Appliances, and Devices: Scope (ZIP)
Section 410.38 - Durable Medical Equipment: Scope and Conditions (ZIP)
Section 410-Subpart I - Part B Payment (ZIP)
Section 421.210 - Designations of Regional Carriers to Process Claims for DMEPOS (ZIP)
Section 424.57 - Special Payment Rules for Items Furnished by DMEPOS Suppliers and Issuance of DMEPOS Supplier Billing Privileges (ZIP)
Section 424-Subpart D - To Whom Payment is Ordinarily Made (ZIP)

The Social Security Act

Title XVIII of the Social Security Act is administered by the Centers for Medicare and Medicaid Services. The following sections are from Title XVIII--Health Insurance for the Aged and Disabled.

Section 1832 - Scope of Payments
Section 1833 - Payment of Benefits
Section 1834 - Special Payment Rules
Section 1834(a) - Payment for Durable Medical Equipment
Section 1834(h) - Payment For Prosthetic Devices and Orthotics and Prosthetics
Section 1834(i) - Payment For Surgical Dressings
Section 1834(j) - Requirements For Suppliers of Medical Equipment and Supplies
Section 1842 - Use of Carriers for Administration of Benefits
Section 1861(m) - Home Health Services Definition
Section 1861(n) - Durable Medical Equipment Definition
Section 1861(s)(2)(A) - Medical and Other Health Services Definition
Section 1861(s)(5) - Medical and Other Health Services Definition
Section 1861(s)(8) - Medical and Other Health Services Definition
Section 1861(s)(9) - Medical and Other Health Services Definition
Section 1861(t) - Drugs and Biologicals