CMS added the following PMD accessory HCPCS codes for voluntary authorization. The goal of this process is to increase operational simplicity by allowing suppliers to request prior authorization for a PMD accessory.
The DME MACs will begin accepting voluntary PARs for applicable PMD accessory item(s) on or after March 20, 2023, for dates of service on or after April 6, 2023. A prior authorization decision will be rendered for both the PMD (the base item), which requires prior authorization and a PMD accessory that does not require prior authorization. PARs submitted for a PMD accessory must include the related PMD base item. If the PAR does not include a required PMD base, the PAR will be rejected. If the base item on the PAR is non-affirmed, the accessory will also be non-affirmed.
HCPCS codes include: E0950, E0955, E1002-E1010, E1012, E1029, E1030, E2310-E2313, E2321-E2330, E2351, E2373, E2377, E2601-E2608, E2611-E2616, E2620-E2625, K0020, and K0195
Please refer to the CMS Prior Authorization DMEPOS Operational guide for updates on Prior Authorization Requests (PAR) or FAQs to answer any questions.