Additional Payment Edits for DMEPOS Suppliers of Custom Fabricated and Prefabricated (Custom Fitted) Orthotics. Update to Change Request (CR) 3959, CR 8390, and CR 8730

Release Date: September 13, 2021
CR Transmittal Number: R11002OTN
Change Request (CR) Number: 12282
Effective Date: October 1, 2021
Implementation Date: October 4, 2021

Note: Transmittal 10896, dated July 21, 2021, is being rescinded and replaced by Transmittal 11002, dated, September 13, 2021 to make additional updates to the OR01 and OR02 HCPCS Codes Attachment. All other information remains the same.

CR 12282 communicates the addition of HCPCS codes which require the use of a licensed/certified orthotist or prosthetist for furnishing of orthotics or prosthetics under the following product and service codes:

  1. OR01 Orthoses: Custom Fabricated
  2. OR02 Orthoses: Prefabricated (Custom Fitted)

View the complete CMS Change Request (CR) 12282.

            Last Updated Thu, 23 Sep 2021 14:22:07 +0000