Prior Authorization Rules Updated for DMEPOS
- By Brad Ericson
- In Coding
- July 6, 2017
- Comments Off on Prior Authorization Rules Updated for DMEPOS

The Centers for Medicare and Medicaid Services (CMS) have released an update to the prior authorization process for certain durable medical equipment, prosthetic, orthotics, and supplies (DMEPOS) items.
- K0856: Power wheelchair, group 3 std., single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
- K0861: Power wheelchair, group 3 std., multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Suppliers or beneficiaries submitting the first claims in the series for these items must receive prior authorization before the item is furnished or a claim is submitted, as a condition for payment. Durable medical equipment Medicare administrative contractors (DME MACs) began accepting prior authorization requests for this expansion July 3, 2017.
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