Article Detail - JA DME
New Order and Face-to-Face Requirement for Certain Orthoses Now Active
In January 2023, CMS announced the addition of certain orthoses to the Required Face-to-Face Encounter & Written Order Prior to Delivery List. That requirement went into effect on April 17, 2023. The following HCPCS codes require a face-to-face (F2F) encounter with the treating practitioner within six months prior to the order.
Lumbar-Sacral Orthoses: L0631 and L0637
Knee Orthoses: L1843
Ankle Foot Orthoses: L1932, L1940, L1951, L1960 and L1970
Knee Ankle Foot Orthoses: L2005 and L2036
The written order prior to delivery (WOPD) must be communicated to the supplier prior to delivery of the item. The Standard Documentation Requirements Article (A55426) has additional information on F2F and WOPD requirements.