Code Verification

The Pricing, Data Analysis and Coding (PDAC) contractor maintains the Durable Medical Equipment Coding System (DMECS). DMECS is an official source for Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) product code verification and assignment.

Coding verification is the voluntary process (unless mandated by DME Medicare Administrative Contractor (MAC) policy) that allows manufacturers/distributors to request a coding decision on a DMEPOS item. It is the responsibility of the PDAC to review DMEPOS products to determine the appropriate HCPCS code for Medicare billing. Access the specific Local Coverage Determination (LCD) or Policy Article from the CMS Indexes webpage for more information.

Code Verification Request - View benefits of submitting products for coding verification, access coding verification application help, items to include, and timeframes

Reconsideration Request - View reconsideration request process

Application Status Search - Check status of applications received by PDAC

PDAC Meeting Requests - View code verification process, guidelines for submission, decision timeframes and training

Code Verification Articles