CMS addresses urgent need for orthotics
By HME News Staff
Updated 10:44 AM CDT, Mon April 18, 2022
WASHINGTON – CMS has published a FAQ for situations when patients need orthotic braces earlier than the two-day expedited timeframe. The agency says providers need to bill claims for L0648, L0650, L1832, L1833 and L1851 in these situations with the ST modifier and they will not undergo prior authorization. In a competitive bidding area, they need to bill these claims with the modifiers KV, J5 or J4, along with the ST modifier. Starting April 13, L0648, L0650, L1832, L1833 and L1851 were phased-in to the prior authorization program in New York, Illinois, Florida and California, with full implementation set for Oct. 19.
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