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

CMS has published updates to its Medicare HCPCS code lists governing durable medical equipment and related items that may require face-to-face patient encounters, written orders prior to delivery, and/or prior authorization before coverage is approved. The revisions affect which codes appear on the Master List, the Required Face-to-Face Encounter and Written Order Prior to Delivery List, and the Required Prior Authorization List. Physical therapists who order or recommend covered items for Medicare patients should review the updated code sets to ensure compliance with applicable documentation and authorization requirements.

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