Recently CMS published the continuation of prior authorization for 45 Healthcare Common Procedure Coding System (HCPCS) codes on the Required Prior Authorization List of DMEPOS Items that require prior authorization as a condition of payment (Federal Register / Vol. 85, No. 28, 7666-7668). Within the list of 45 L-codes, three prosthetic foot system codes and three lower limb extremity knee-shin prosthesis system codes are scheduled for implementation:
Read the complete advisory article, Prosthetic Feet and Additions to Lower Limb Extremity Prostheses - Correct Coding and Coding Verification Review Requirement.