August 17, 2026
Starting October 28, 2026: New Codes Added to Required Prior Authorization
CMS added new codes to the Required Prior Authorization List
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The following codes require prior authorization nationwide effective October 28, 2026:
- Orthoses: L0456, L0457, L0486, L1833
- Group 3 Pressure Reducing Support Surface: E0194
- Manual Wheelchair: K0005
The following codes require Prior Authorization in phases:
- Upper Limb Orthoses: L3761 and L3916
Phases
- Phase 1: 10/28/26 (NY, MI, FL and CA)
- Phase 2: 01/26/2027 (PA, MA, OH, IL, TX, GA, AR, and OR)
- Phase 3: 04/26/2027 Nationwide
CGS will share more information as it becomes available. Check our Prior Authorization page and Jurisdiction B News page for updates. Make sure you are signed up for Electronic Mailing List to get direct email notifications.

