DMEPOS Nationwide Expansion of Required PA of Pressure Reducing Support Surfaces

A Federal Register Notice (84 FR 16616) added five Pressure Reducing Support Surfaces codes to the Required Prior Authorization (PA) List. Effective October 21, all Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers in all states are required to obtain prior authorization for these items:

  • E0193 - Powered air flotation bed (low air loss therapy)
  • E0277 - Powered pressure-reducing air mattress
  • E0371 - Non-powered advanced pressure reducing overlay for mattress, standard mattress length and width
  • E0372 - Powered air overlay for mattress, standard mattress length and width
  • E0373 - Non-powered advanced pressure reducing mattress

Visit the Prior Authorization Process for Certain DMEPOS Items webpage for more information, including the June 4, 2019 Open Door Forum Slides, and PA Operational Guide.

Source: CMS MLN Connects dated August 29, 2019

            Last Updated Wed, 12 Feb 2020 10:11:48 +0000