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Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule
Study Number A09_98, A09_99, A09_00
Background of Dataset
Purpose of the Data Set This file contains the fee schedule amounts, floors, and ceilings for all procedure codes subject to the DMEPOS fee schedule payment methods. In addition, this file provides the DMEPOS payment category, jurisdiction, and short description assigned to each procedure code. Medicare carriers and fiscal intermediaries use the DMEPOS fee schedule to price Medicare DMEPOS claims.
Criteria(s) for Inclusion/Exclusion N/A
Age Range Included N/A
Method(s) of Data Gathering These data come from the Federal Register.
Sampling Frame/Design N/A
Limitation(s) of Study None

Year(s) Available

2nd Qtr 2000, 3rd Qtr 1999, 4th Qtr 1998
Number of Observations 2068
Unit of Observation HCFA Common Procedure Coding System Code (HCPCS), which includes CPT-4 codes
Publisher Health Care Financing Administration
Contact Information/Web Address http://www.hcfa.gov/stats/pufiles.htm
Condition of Use Publicly Available
Contents of Database

Key Linking Variables

 

  •Patient identifier

 

  •Physician identifier

 

  •Health facility identifier

 

  •Geographic identifier

State

  •Other identifier

HCPCS Code
Demographics Information N/A
Access/Utilization Information N/A
Health Care Facility Information N/A
Physician Information N/A
Cost/Expenditure Information  

  •Unit of cost

 

  •Charges/costs/payments

 

    •Total

 

    •Allied and additional services

 

    •Pharmacy

 

  •Out-of-pocket payments

 

  •Other information

Fee Schedule Amount
Other Information  
  •Modifier, Short Description

 

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