Intermediary Format for Durable Medical Equipment, Prosthetic, Orthotic and Supply Fee Schedule (Rev. 236, 01-03-05)

by  Jared Staheli
June 17th, 2015

This file contains services subject to national Floors and Ceilings under the DMEPOS Fee Schedules including Surgical Dressings. RHHIs retrieve data from all DME categories contained in this file. Regular intermediaries retrieve prices for prosthetics, orthotics and surgical dressings. Also, new services that were gapped-filled by DMERCs or local Part B Carriers contain the same format with a different file name. The CMS will provide the specific file names when the prices are released.

Record Length - 60

Record Format - FB

Block Size - 6000

Character Code - EBCDIC

Sort Sequence - Label, HCPCS Code, Modifier, State

Data Element Name Picture Location Comment
HCPCS X(05) 1 - 5  
Modifier X(02) 6 - 7  
MOD 2 X(02) 8 - 9  
Fee Schedule Amt 9(05)V99 10 - 16  
Filler X(14) 17 - 30  
State X(02) 31 - 32  
Filler X(05) 33 - 37  
Label X(3) 38 - 40

DME = Durable Medical Equipment (other than oxygen

OXY = Oxygen

P/O = Prosthetic/Orthotic

S/D = Surgical Dressings

Filler X(20) 41 - 60  


Intermediary Format for Durable Medical Equipment, Prosthetic, Orthotic and Supply Fee Schedule (Rev. 236, 01-03-05). (2015, June 17). Find-A-Code Articles. Retrieved from

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