The Centers for Medicare & Medicaid Services (CMS) posted the final Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule payment rates for the Myomo MyoPro upper-limb orthoses.
The final average fee schedule rates for the two Healthcare Common Procedures System (HCPCS) codes describing the MyoPro, L-8701 (the Motion W device) and L-8702 (the Motion G device), are $33,480.90 and $65,871.74, respectively. The fees become effective on April 1.
The MyoPro was officially classified in the brace benefit category on January 1, which enabled reimbursement on a lump sum basis.
“We’re extremely gratified to have reached a successful conclusion with CMS, a process that started in 2018 with the granting of the two HCPCS billing codes,” said Paul R. Gudonis, Myomo’s chairman and CEO. “This is an important milestone for qualified Medicare Part B beneficiaries with long-term muscular weakness or partial paralysis, and for Myomo as a company. We extend thanks to the personnel at CMS for their efforts and for appreciating the benefits that powered braces such as the MyoPro can provide to Medicare Part B beneficiaries.”
The MyoPro rate details begin on page 67 of the CMS HCPCS Level II Final Coding, Benefit Category and Payment Determinations Second Biannual (B2), 2023 HCPCS Coding Cycle.
