Alert Details

Prior Authorization Requirements - Effective August 12, 2024

07/02/2024 | 14:02 PM

Prior Authorization will be required nationwide as a condition of payment for the following HCPCS codes beginning for dates of delivery on or after August 12, 2024:

Spinal Orthoses

• L0631
• L0637
• L0639

Knee Orthoses

•  L1843
• L1845

Ankle-Foot Orthoses

• L1951

Osteogenesis Stimulator – California, Florida, Ohio and Pennsylvania Only 

• E0747
• E0748
• E0760

View the below webpages for your jurisdiction for additional information.

Prior Authorization for Orthoses

• JA
• JD

Prior Authorization for Osteogenesis Stimulator

• JA
• JD