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July 10, 2024

Osteogenesis Stimulators and Required Prior Authorization

CMS selected osteogenesis stimulator HCPCS codes E0747, E0748, E0760 that will require prior authorization. There will be two phases of implementation:

  • Phase one begins August 12, 2024:
    • California, Florida, Ohio, and Pennsylvania.
    • We will begin accepting phase one requests on July 29, 2024
    • Prior authorization is not required for beneficiaries with a Representative Payee during phase one.
  • Phase two begins November 12, 2024:
    • All remaining states and territories not included in phase one.
    • We will begin accepting phase 2 requests October 29, 2024.

See Prior Authorization for DMEPOS for details about the prior authorization process and how to send a prior authorization request.

Osteogenesis Stimulators and Prior Authorization Webinar – July 25, 2024

In this webinar, CGS Provider Education will cover medical necessity coverage criteria, correct coding and billing, prior authorization, the Face-to-Face Encounter and Written Order Prior to Delivery (WOPD). See our DME Provider Outreach & Education: Calendar of Events for registration details.


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