1. Home /
  2. HCPCS Review /
  3. Code Verification Request

Code Verification Request

The PDAC Code Verification Review process provides a mechanism for a product’s manufacturer or designated representative to request a HCPCS code be assigned to a Durable Medical Equipment, Prosthetic, Orthotic or Supply (DMEPOS) product. Review the appropriate DME MACs Local Coverage Determination (LCD) and related Policy Article to determine if a product being submitted qualifies for the code being requested.

The PDAC Items that Require Coding Verification Reviews webpage contains a current list of HCPCS codes that require coding verification review, the applicable LCD or Advisory Article for each code, and the code verification requirement effective date. Such information may also be found on each DME Medicare Administrative Contractor (MAC) Jurisdiction (J) website.

JA: Noridian | JB: CGS, LLC | JC: CGS, LLC | JD: Noridian

Request Guidelines and Requirements

A valid request submission must include:

As of October 1, 2013, the PDAC is unable to process any coding applications or DMECS updates without receiving confirmation of the FDA establishment registration and device listing and/or 510k letter. All items must comply with FDA requirements applicable to device category. The FDA provides extensive resources to assist with device classification. See the FDA How to Study and Market Your Device webpage as a useful starting point for information about FDA device requirements

Application Deemed Invalid and Rejected

Application Resubmission

Application Acknowledgement and Completion Timeframe