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Article Detail - JA DME

Power Mobility Device Condition of Payment Prior Authorization Expands to Include Power Operated Vehicles

In December 2016, CMS issued a final rule that established a Condition of Payment Prior Authorization (COPPA) process for certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) that are frequently subject to unnecessary utilization. This process was implemented in March 2017 for two HCPCS codes and expanded to include 51 items as of December 2020.

CMS published a notice in the Federal Register January 13 adding the following Power Mobility Device (PMD) Power Operated Vehicle (POV) HCPCS codes to COPPA program: K0800, K0801, K0802, K0806, K0807, and K0808. This will be effective nationwide for dates of service on or after April 13, 2022.

See the Medicare Learning Network (MLN) article SE20007 for additional information on the COPPA expansion.

            Last Updated Mon, 28 Feb 2022 16:37:37 +0000