ATPPS Letter to CMS on DME Ruling – New Product Categories

The Board of the ATPPS wanted to notify the membership of a CMS proposal that could have implications on your facility.  ATPPS has submitted a comment to CMS asking for a longer comment period as the current comment period is only about a month long, significantly less than the standard comment period. Our letter can be read here in our Member Documents section.

Below is the CMS request for public comment along with the hyperlink directly to the CMS website.

Public Comments on New Product Categories

Update: CMS is extending the public comment period to December 17, 2018

The Centers for Medicare & Medicaid Services (CMS) is soliciting comments on the following new product categories, including their associated Healthcare Common Procedure Coding System codes, to be phased-in for the next round of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program:

Ventilators: E0465, E0466, E0467

Off-The-Shelf Back Braces: L0450, L0455, L0457, L0467, L0469, L0621, L0623, L0625, L0628, L0641, L0642, L0643, L0648, L0649, L0650, L0651

Off-The-Shelf Knee Braces: L1812, L1830, L1833, L1836, L1848, L1850, L1851, L1852

These new product categories will be phased-in under all competitive bidding areas in the next round of the DMEPOS Competitive Bidding Program.

To submit a comment, please email it to In order for your comment to be considered, you must type “Competitive Bidding Product Categories” as the subject line for your email. Only comments submitted by 11:59:59 PM Prevailing Eastern Time on December 17, 2018, with the subject line above will be considered. []

ATPPS recommends that you review this information to access how it may impact your facility and utilization of DME.