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CGS Administrators, LLC

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June 7, 2019

Condition of Payment Prior Authorization – Group 2 - Pressure Reducing Support Surfaces

CMS is adding the following five Group 2 HCPCS codes for Pressure Reducing Support Surfaces (PRSS) to the Required Prior Authorization List: E0193, E0277, E0371, E0372, and E0373. Prior authorization for PRSSs will be implemented in two phases.

Phase I will require prior authorization of the affected codes prior to delivery for California, Indiana, New Jersey, and North Carolina with dates of service on and after July 22, 2019. CGS will begin to accept prior authorization requests on July 08, 2019.

Phase II will expand prior authorization of these codes to the remaining states and territories for dates of service on and after October 21, 2019.

Additional information and resources are located at:

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