Medicare Fee Schedule Research
Look up official July 2026 DMEPOS fee rows by HCPCS code, state, modifier, and rural status.
Important: Fee schedule amounts and code references do not guarantee coverage or payment. Verify billing decisions with official Medicare sources, DME MAC guidance, and qualified compliance professionals.
Enter a five-character HCPCS code and select a state to view official fee rows.
Choose the correct Medicare fee schedule
Medicare does not use one universal reimbursement table. Start with the item or service, claim type, setting, date, locality, and payment system. This lookup is specifically for the imported DMEPOS fee schedule snapshot.
| Research target | Typical CMS payment reference | Do not confuse it with |
|---|---|---|
| DMEPOS item or supply | DMEPOS fee schedule | Coverage under an LCD, policy article, or benefit category |
| Physician or practitioner service | Medicare Physician Fee Schedule | A DMEPOS amount or commercial contracted rate |
| Clinical laboratory service | Clinical Laboratory Fee Schedule | Independent-laboratory POS or medical-necessity rules |
| Ambulance service | Ambulance Fee Schedule | Mileage, origin/destination, and coverage requirements |
| Commercial claim | The payer contract or negotiated allowed amount | A Medicare rate used only as an external benchmark |
Rate-to-payment checklist
- 1. Confirm the exact HCPCS code and date of service.
- 2. Select the correct state, locality, rural status, and modifier row.
- 3. Verify benefit category, coverage policy, documentation, authorization, and supplier eligibility separately.
- 4. Apply rental, purchase, capped-rental, competitive-bidding, or other payment rules that govern the item.
- 5. Use the remittance to determine the actual allowed amount, payment, adjustment, and supported patient responsibility.