Medicare Program; Update to the Required Prior Authorization List of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items That Require Prior Authorization as a Condition of Payment
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2020-02-11 · Effective 2020-05-11 · 85 FR 7666
Document
Document number
2020-02644
Federal Register citation
85 FR 7666
CFR reference
42 CFR 414
Type
Rule
Action
Update to list and phases.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2020-02-11
Effective date
2020-05-11
HHS docket
CMS-6080-N3
Abstract
This document announces the continuation of prior authorization for 45 Healthcare Common Procedure Coding System (HCPCS) codes on the Required Prior Authorization List of DMEPOS Items that require prior authorization as a condition of payment, as well as the addition of six HCPCS codes to this list. Prior authorization for the additional codes will be implemented in two phases.