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Medicare Program; Updates to the Master List of Items Potentially Subject to Face to Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements; Updates to the Required Face-to-Face Encounter and Written Order Prior to Delivery List; and Updates to the Required Prior Authorization List

Federal Register · 2026-01-13 · By Health and Human Services Department

CMS has published updated HCPCS code lists governing Medicare requirements for face-to-face encounters, written orders prior to delivery, and prior authorization for durable medical equipment and related items. The Federal Register notice revises which codes appear on the Master List, the Required Face-to-Face and Written Order Prior to Delivery List, and the Required Prior Authorization List. Physical therapists ordering or recommending covered items for Medicare patients should review these updated lists to ensure compliance with applicable documentation and authorization requirements.

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