CMS expands required list
By HME News Staff
Updated 10:03 AM CST, Tue January 17, 2023
WASHINGTON – CMS has added 10 more HCPCS codes to a required list for a face-to-face encounter /written order prior to delivery, according to VGM Government Relations.
The new codes include the following for back, knee and ankle/foot braces: L0631, L1843, L1932, L1940, L1951, L1960, L1970, L2005, L2036. Also included: E0748, osteogenesis stimulator, electrical, non-invasive, spinal applications.
The effective date for the news codes is April 2023.
The required list, which already includes all codes in the power mobility device category and seven other codes, now includes a total of 63 codes.
When a code makes the required list, a patient must have a face-to-face encounter with their treating practitioner documenting the medical necessity for the item being prescribed. The medical necessity must meet the coverage criteria outlined within the respective local coverage determination (LCD).
In addition, the written order prior to delivery is required and must be completed within six months after the required F2F encounter.
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