Condition of Payment Prior Authorization Program Expanding to Include Pressure Reducing Support Surfaces - Effective for Dates of Service on/after July 22, 2019

The addition of Pressure Reducing Support Surfaces (PRSS) Group Two HCPCS codes E0193, E0277, E0371, E0372, and E0373 to the Condition of Payment Prior Authorization (COPPA) program will be implemented in two phases as stated in the Federal Registry Notice posted April 22, 2019.

DME MACs will begin accepting Prior Authorization (PA) review requests for the above PRSS items July 8, 2019 for planned dates of service on/after July 22, 2019 for California, Indiana, New Jersey, and North Carolina.

In October, the DME MACs will begin accepting PA review requests for the above PRSS items for the remaining states/territories October 7, 2019 for planned dates of service on/after October 21, 2019.

View the new Prior Authorization for Pressure Reducing Support Surfaces webpage for information related to the PA request process, links to educational resources, fillable forms, and PA tools.

Last Updated Jun 06, 2019