On Feb. 28, 2023, an updated Durable Medical Equipment (DME) fee schedule was posted to the NC Medicaid Fee Schedule and Covered Code Portal. This updated DME fee schedule includes a purchase rate and a capped rental rate for the following HCPCS codes: E0300, E2227, E2228, E2312, E2313 and E2378.
The purchase rates and capped rental rates were added to these HCPCS codes to allow Medicare crossover claims to reimburse appropriately. These HCPCS codes were previously manually priced by NC Medicaid.
The effective date for the purchase rate and capped rental rate for the E0300 is Nov. 1, 2022. The effective date for the purchase rates and capped rental rates for the E2227, E2228, E2312, E2313, and E2378 is Aug. 1, 2022.
Contact
NC Medicaid Contact Center, 888-245-0179
NCTracks Call Center: 800-688-6696