Article Detail - JA DME

Effective for dates of service on or after August 12, 2024, knee orthosis HCPCS code L1833 (Adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf) no longer requires prior authorization or a face-to-face encounter or a written order prior to delivery. Prior Authorization requests submitted on or after August 12, 2024 will be rejected.

For a list of HCPCS codes that do require prior authorization, please refer to the Required Prior Authorization List.

For a list of HCPCS codes that do require a face-to-face encounter and a written order prior to delivery, please refer to the Required Face-to-Face Encounter and Written Order Prior to Delivery List.