Power Mobility Device Accessory Voluntary Prior Authorization
CMS added the following PMD accessory HCPCS codes for voluntary authorization:
E0950, E0955, E1002-E1010, E1012, E1029, E1030, E2310-E2313, E2321-E2330, E2351, E2373, E2377, E2601-E2608, E2611-E2616, E2620-E2625, K0020, and K0195
The DME MACs will begin accepting voluntary PARs for applicable PMD accessory item(s) on or after March 20, 2023, for dates of service on or after April 6, 2023.
The fastest, easiest way to submit prior authorization requests is through the DME myCGS portal.
- If you are not yet registered for myCGS, get started with the Registration Guide.
- If you are already registered for myCGS, read the "Prior Authorization" section in the myCGS User Manual.
Aside from the myCGS web portal, suppliers can submit PA requests via mailing address, fax, and esMD using the Prior Authorization (PA) Submission Form.
Resources
- Prior Authorization Coversheet
- PMD Accessory Voluntary Prior Authorization – What Suppliers Need to Know
- Prior Authorization HCPCS Look-Up Tool
- Dear Physician – Medicare Prior Authorization Condition of Payment for Certain Power Mobility Devices
- PMD Documentation Checklists
- Power Mobility: Group 1 PWCs (K0813 – K0816) & Group 2 PWCs (K0820 – K0829)
- Power Mobility: Group 2 Single Power Option PWCs (K0835 – K0840) & Group 2 Multiple Power Option PWCs (K0841 – K0843)
- Power Mobility: Group 3 No Power Option PWCs (K0848 – K0855), Group 3 Single Power Option PWCs (K0856 – K0860), & Group 3 Multiple Power Option PWCs (K0861 – K0864)
- POVs: HCPCS Codes K0800 - K0802 and K0812
- Power Mobility: Group 1 PWCs (K0813 – K0816) & Group 2 PWCs (K0820 – K0829)
- Use myCGS to Submit Prior Authorization Accessories for Power Mobility Devices
CMS Resources
- Prior Authorization Process
- Prior Authorization Frequently Asked Questions
- Prior Authorization Operational Guide
Revised: 04.12.23