Parenteral and Enteral Nutrition (PEN) Fee Schedule

70 - Parenteral and Enteral Nutrition (PEN) Fee Schedule (Rev. 1, 10-01-03) PM B-01-54, AB-02-152 The Balanced Budget Act of 1997 §4315 authorized the Secretary to implement a fee schedule for parenteral and enteral nutrition (PEN) items and services. These items were previously paid on a reasonable charge basis. The DME MACs will make payment based on the new PEN fee schedule effective for claims with dates of service on or after January 1, 2002. The file layout for the PEN fee schedule is consistent with that of the DMEPOS fee schedule in §60.1 above except that “Region,” “Ceiling,” and “Floor” fields are not applicable and will be zero filled. The CMS issues instructions for implementing an annual PEN fee schedule along with the DMEPOS fee schedule instructions. The PEN fee schedule is provided to DME MACs and the Pricing, Data Analysis, and Coding Contractor (PDAC) via CMS’ mainframe telecommunication system.