March 4, 2022
Additional Power Mobility Devices (PMDs) to Be Included in Prior Authorization
CMS has announced the selection of 6 additional PMD codes to be subject to required prior authorization beginning nationwide on April 13, 2022:
CMS selected the following 6 PMD HCPCS codes: K0800, K0801, K0802, K0806, K0807, and K0808.
Prior authorization is already required for HCPCS codes: K0813-K0829, K0835-K0843, and K0848-K0864.
CGS is preparing to schedule additional education and will publish more instructions as we near the implementation date. Read the electronic mailing list, 2022 DME MAC Jurisdiction C News, and Prior Authorization webpage to stay updated.
Learn more about these requirements on the CMS website:
- Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Master List
- Prior Authorization – 5 orthoses and 6 power mobility devices were added
- MLN Matters® Article SE20007