Request Updates to The Product Classification List on DMECS
The Pricing, Data Analysis and Coding (PDAC) Contractor maintains the Product Classification List (PCL) and the Durable Medical Equipment Coding System (DMECS) on its website. The PCL is updated with Healthcare Common Procedure Coding System (HCPCS) codes for corresponding products, as coding verification determinations are completed by the PDAC.
It is the responsibility of manufacturers and distributors to notify the PDAC within 30 days of any changes involving products listed on the PCL.
The following situations describe circumstances when changes involving a product listed on the PCL require a new coding verification application be sent to the PDAC, along with any required information and product sample(s):
Any changes to products coded prior to August 1, 2008 by the Statistical Analysis Durable Medical Equipment Regional Carrier (SADMERC).
The product currently listed has changed from the initial coding verification review conducted by the PDAC (or former SADMERC). An example would be if the product is made out of a different material, is now a different size, or the manufacturing of the product was changed.
The addition of a new product name to the PCL for an existing model number.
All size changes to surgical dressings.
The addition of model numbers for LSOs and TLSOs coded prior to May 15, 2010.
The addition of model numbers for Power Mobility Devices, including Power Operated Vehicles and Power Wheelchairs.
A request to reinstate a product on the PCL that is currently listed with an effective end date.
A request to change any information currently listed on the PCL from what was submitted on the original coding verification application due to a manufacturer change such as a change in labeling, product name change, or model number change.
The following situations describe circumstances requiring only the submission of the appropriate signed and dated attestation form(s) on company letterhead. The attestation must identify all affected products as they are listed on the PCL (ie, a screenshot of the products on DMECS) and state that the products have not changed.
All requests MUST be accompanied by manufacturer/distributor name as listed on the PCL, current mailing address and contact information.
New Private Label Agreement: The addition of a new manufacturer/distributor name as a result of a private label agreement (Each form must be sent to the PDAC from each respective company).
Manufacturers must submit a copy of the “Attestation regarding Addition of a New Manufacturer/Distributor Name Resulting from a Private Label Agreement (Manufacturer Attestation)” printed on company letterhead.
Distributors must submit a copy of the “Attestation regarding Addition of a New Manufacturer/Distributor Name Resulting from a Private Label Agreement (Distributor Attestation)” printed on company letterhead.
Manufacture Name Change: The addition of a product as a result of a Corporate Merger or Purchase.
- Submit a copy of the “Attestation regarding Manufacturer Name Change Resulting from Corporate Merger or Purchase” printed on company letterhead.
- Provide the legal documentation, as required by the state where the company is located, demonstrating the name change is final and complete.
NOTE: If the appropriate attestation form is not completed and the required legal documentation is not supplied, a new coding verification application must be submitted.
Addition of Model Numbers: The manufacturer/distributor requests additional model numbers be added to an existing product line currently listed on the PCL. Examples include:
- New color to the product line
- New size to the product line that is within the current size range of the assigned HCPCS coding.
NOTE: The Attestation Regarding Addition of Model Numbers must be printed on company letterhead, and sent along with product literature and the effective begin date for the new product(s).
The following situations describe circumstances when the PDAC will update the PCL without requiring the submission of a new coding verification application or an attestation form:
- Information on the PCL is incorrect as a result of a typographical/administrative error made by the PDAC.
- The manufacturer/distributor has discontinued production of a product or a private label agreement has been terminated. The request must be submitted by the manufacturer/distributor listed on the PCL. The requst must include the following:
- Printed on company letterhead
- The effective end date of the products in the request
- The complete product listing exported from the PCL
Each inquiry will be handled on a case-by-case basis and PDAC reserves the right to request a new coding verification application to verify the correct code. All final decisions made by the PDAC will be communicated to the inquirer in writing.