The Commonwealth of Massachusetts
Executive Office of Health and Human Services
One Ashburton Place
Boston, MA 02108
Administrative Bulletin 13-10
114.3 CMR 22.00: Durable Medical Equipment,
Oxygen and Respiratory Therapy Equipment
Effective July 1, 2013
HCPCS Updates and Corrections
Under the authority of Regulation 114.3 CMR 22.01(5), the Executive Office of Health and Human Services is adding new codes for services provided on or after July 1, 2013.
Codes with associated Medicare fees are set at a percentage of prevailing Medicare fees as described in 114.3 CMR 22.03(16). Codes without associated Medicare fees are set based on the individual consideration (IC) methodology at adjusted acquisition cost (AAC) plus the standard markup, as defined in 114.3 CMR 22.02, until appropriate rates are developed.
The following codes are new:
New Code/Modifier / Rate / Description /KK / - / DMEPOS item subject to DMEPOS competitive bidding program number 2
K0008 / AAC+35% / Custom manual wheelchair/base
K0013 / AAC+35% / Custom motorized/power wheelchair base
K0900 / AAC+30% / Custom durable medical equipment, other than wheelchair