Reminder - Prosthetic Feet and Additions to Lower Limb Extremity Prostheses - Coding Verification Review Requirement

Posted September 3, 2020

Prosthetic manufacturers are reminded that the Pricing, Data Analysis and Coding (PDAC) contractor is conducting Coding Verification Reviews of the prosthetic components subject to Lower Limb Prostheses (LLP) Prior Authorization. Effective for claims with dates of service on or after January 1, 2021, the only products which may be billed using codes L5856, L5857, L5858, L5973, L5980, and L5987 are those for which a written Coding Verification Review has been made by the Pricing, Data Analysis and Coding (PDAC) Contractor and subsequently published on the appropriate Product Classification List. For more information please see the following article, published June 25, 2020: Prosthetic Feet and Additions to Lower Limb Extremity Prostheses - Correct Coding and Coding Verification Review Requirement.

            Last Updated Fri, 04 Sep 2020 15:28:02 +0000