February 24, 2022
Required Face-to-Face Encounter and Written Order Prior to Delivery (WOPD) List
CMS has announced the addition of 7 items (1 osteogenesis stimulator and 6 orthoses) that will require a face-to-face encounter and written order prior to delivery (WOPD) as a condition of payment, effective April 13, 2022. These items are in addition to the 46 Power Mobility Devices (PMDs) that are already on the list:
HCPCS | Description |
---|---|
E0748 | Osteogenesis Stimulator, Electrical, Non-Invasive, Spinal Applications |
L0648 | Lumbar-Sacral Orthosis, Sagittal Control, With Rigid Anterior And Posterior Panels, Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra, Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs, Includes Straps, Closures, May Include Padding, Shoulder Straps, Pendulous Abdomen Design, Prefabricated, Off-The-Shelf |
L0650 | Lumbar-Sacral Orthosis, Sagittal-Coronal Control, With Rigid Anterior And Posterior Frame/Panel(S), Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra, Lateral Strength Provided By Rigid Lateral Frame/Panel(S), Produces Intracavitary Pressure To Reduce Load On Intervertebral Discs, Includes Straps, Closures, May Include Padding, Shoulder Straps, Pendulous Abdomen Design, Prefabricated, Off-The-Shelf |
L1832 | Knee Orthosis, Adjustable Knee Joints (Unicentric Or Polycentric), Positional Orthosis, Rigid Support, Prefabricated Item That Has Been Trimmed, Bent, Molded, Assembled, Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise |
L1833 | Knee Orthosis, Adjustable Knee Joints (Unicentric Or Polycentric), Positional Orthosis, Rigid Support, Prefabricated, Off-The Shelf |
L1851 | Knee Orthosis (KO), Single Upright, Thigh And Calf, With Adjustable Flexion And Extension Joint (Unicentric Or Polycentric), Medial-Lateral And Rotation Control, With Or Without Varus/Valgus Adjustment, Prefabricated, Off-The-Shelf |
L3960 | Shoulder Elbow Wrist Hand Orthosis, Abduction Positioning, Airplane Design, Prefabricated, Includes Fitting And Adjustment |
Refer to the Standard Documentation Requirements for All Claims Submitted to DME MACs (A55426) for details on the order and face-to-face encounter requirements.
Learn more about these requirements on the CMS website:
- Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Master List
- Face-to-Face Encounter and Written Order Prior to Delivery – this list contains 7 items (plus 46 power mobility devices as required by law)
- MLN Matters® Article SE20007