PDAC preps for new cath codes
By HME News Staff
Updated 9:34 AM CST, Thu January 9, 2025
WASHINGTON – The Pricing, Data Analysis and Coding (PDAC) contractor for CMS seeks primary contact information from manufacturers and distributors as it prepares to roll out new HCPCS codes for hydrophilic intermittent urinary catheters on Jan. 1, 2026, AAHomecare reports.
Manufacturers and distributors can provide their primary contact by completing this form by March 31. Over the course of the year, the PDAC will work with the primary contact to determine if their products qualify for one of the new codes.
Manufacturers and distributors must also submit code verification review applications for changes to product details or for new product verification by Oct. 31. The PDAC will assess whether existing products meet the criteria for the new codes for the upcoming year. All applicable product information identified for a code change will be captured and updated periodically on the Hydrophilic Intermittent Urinary Catheter Crosswalk. Products listed in the crosswalk will be transitioned to the appropriate HCPCS code effective Jan. 1, 2026.
- Related: Catheter proposal is ‘huge step forward’
- Related: CMS has issued a final rule that addresses suspicious billing activity within the Medicare Shared Savings Program that resulted in an increase in DMEPOS billing for certain intermittent urinary catheter supplies.
- Related: Noridian Healthcare Solutions, as the Supplemental Medicare Review Contractor (SMRC), is conducting post-payment review of intermittent urinary catheter claims billed with dates of service from Jan. 1, 2022, through Dec. 31, 2023
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