The Centers for Medicare & Medicaid Services (CMS) has announced new Medicare prior authorization, face-to-face (F2F), and written order prior to delivery (WOPD) requirements for orthoses codes.
Providers will need to submit prior authorization requests for six orthoses HCPCS codes beginning on Aug. 12, 2024.
In an Aug. 5 announcement, CGS Administrators — the Jurisdiction B and C DME MAC — identified the codes now requiring prior authorization as L0631, L0637, L0639, L1843, L1845, and L1951.
Eight more HCPCS codes will now require F2F and WOPD to be completed starting on Aug. 12. The affected codes are L0635, L0636, L0638, L0639, L0640, L0651, L1845, and L1852.
Beginning Aug. 12, CMS will not require prior authorization, F2F or WOPD for HCPCS code L1833.
The DME MACs also announced F2F and WOPD requirements for hospital bed codes E0290, E0301, and E0304 would begin Aug. 12.
