August 5, 2024
Effective August 12: New Orthoses Codes Added to Required Prior Authorization and WOPD
Effective August 12, 2024, CMS selected six more orthoses codes for required prior authorization to begin nationwide on August 12, 2024: L0631, L0637, L0639, L1843, L1845, L1951. We began accepting prior authorization requests for the added codes on July 29, 2024.
CMS also selected eight more orthoses codes for required face-to-face encounter and written order prior to delivery (WOPD): L0635, L0636, L0638, L0639, L0640, L0651, L1845, and L1852
Effective August 12, 2024, Medicare will not require prior authorization and face-to-face encounter and Written Order Prior to Delivery (WOPD) for HCPCS code L1833.
Need help knowing which codes apply?
Use the Prior Authorization Code Lookup and WOPD Code Lookup.