Face-to-Face and WOPD Required List - JD DME

Determine which HCPCS codes require a face-to-face (F2F) practitioner visit within six months preceding the order and the Written Order Prior to Delivery (WOPD) from the CMS Required Face-to-Face Encounter and Written Order Prior to Delivery List.

• Face-to-Face Encounter - A practitioner visit is required within a six-month timeframe only for items on the CMS F2F and WOPD Required List. A qualifying F2F encounter is required each time a new order/prescription for one of the specified items on the Required List is ordered.
• WOPD - A WOPD is a completed Standard Written Order (SWO) that is communicated to the DMEPOS supplier before delivery of the item(s). Certain items require a completed SWO that is communicated to the DMEPOS supplier prior to the item's delivery. The WOPD must be on file with the supplier within six months of the F2F encounter. The WOPD follows the same documentation requirements as the Standard Written Order (SWO); the only difference is the timeliness requirement of the order (prior to delivery versus prior to claim submission). Applicable codes are found on the Required List.
• Refer to applicable policy for requirements.