June 12, 2024
Orthoses Codes Added to Required Prior Authorization & Face-to-Face Encounter and Written Order Prior To Delivery (WOPD) Lists Effective August 12, 2024
On May 13, 2024, CMS announced updates to the Master List and the Required Face-to-Face Encounter and Required Written Order Prior to Delivery (WOPD) List.
Orthoses Changes effective August 12, 2024:
- L0631, L0637, L0639, L1843, L1845, L1951 – Added to the Required Prior Authorization list.
- L0635, L0636, L0638, L0639, L0640, L0651, L1845, and L1852 – Added to the Required Face-to-Face Encounter and WOPD List
- L1833 – Removed from both Required Face-to-Face Encounter and WOPD and Required Prior Authorization Lists
Learn more about these requirements in MLN Matters Article SE20007.
CGS Online Tools
- Use the Prior Authorization Code Lookup to check for HCPCS codes that are on the Required Prior Authorization List.
- Use the WOPD Code Lookup to check for HCPCS codes that are on the Required Face-to-Face Encounter and Written Order Prior to Delivery List.