Medicare Program; Special Payment Limits for Home Blood Glucose Monitors

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This notice would establish special payment limits for standard home blood glucose monitors, identified as code E0607 of the HCFA Common Procedure Coding System (HCPCS). This proposed notice is intended to prevent excessive payment for these items. Currently, payment under the Medicare program for home blood glucose monitors and other items of durable medical equipment (DME) is equal to 80 percent of the lesser of the actual charge for the item or the fee schedule amount for the item. This notice proposes that payment for standard home blood glucose monitors be equal to 80 percent of the lesser of the actual charge or a special payment limit.