LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone Toll-free: 866.814.0192 or 305.436.5030
Fax Toll-free: 866.818.0373 or 305.436.0086
E-mail Address: orders {at] LEEDerGroup [dot] com

2014-07 Proposed Prior Authorization Process for Certain Durable Medical Equipment

KYDEX-PRO

STRONGER

SAFER

LEEDerGroup.com

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 405 and 414
[CMS–6050–P]
RIN 0938–AR85
Medicare Program; Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule.
SUMMARY: This proposed rule would establish a prior authorization process for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items that are frequently subject to unnecessary utilization and would add a contractor’s decision regarding prior authorization of
coverage of DMEPOS items to the list of actions that are not initial determinations and therefore not
appealable.
DATES: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. Eastern Standard Time on July 28, 2014.

*SEE BELOW FOR PROPOSED HCPCS CODES AFFECTED

K0821 ……………………………..
K0822 ……………………………..
K0823
K0824
K0825
K0826
K0827
K0828
K0829
K0835
K0836 ……………………………..
K0837 ……………………………..
K0838 ……………………………..
K0839 ……………………………..
K0840 ……………………………..
K0841 ……………………………..
K0842 ……………………………..
K0843 ……………………………..
K0848 ……………………………..
K0849
K0850
K0851
K0852
K0853
K0854
K0855
K0856
K0857 ……………………………..
K0858 ……………………………..
K0859 ……………………………..
K0860 ……………………………..
K0861 ……………………………..
K0862 ……………………………..
K0863 ……………………………..
K0864 ……………………………..
L5010 ……………………………..
L5020 ……………………………..
L5050 ……………………………..
L5060 ……………………………..
L5100 ……………………………..
L5105 ……………………………..
L5150 ……………………………..
L5160 ……………………………..
L5200 ……………………………..
L5210 ……………………………..
L5220 ……………………………..
L5230 ……………………………..
L5280
L5301
L5312
L5321
L5331
L5341
L5400
L5420 ……………………………..
L5500 ……………………………..
L5505 ……………………………..
L5510 ……………………………..
L5520 ……………………………..
L5530 ……………………………..
L5535 ……………………………..
L5540.
L5560 ……………………………..
L5570 ……………………………..
L5580 ……………………………..
L5585 ……………………………..
L5590 ……………………………..
L5595 ……………………………..
L5600 ……………………………..
L5610 ……………………………..
L5611 ……………………………..
L5613 ……………………………..
L5614 ……………………………..
L5616 ……………………………..
L5639
L5643
L5649
L5651
L5681
L5683 ……………………………..
L5700
L5701
L5702
L5703
L5705
L5706
L5707
L5718
L5722
L5724
L5726
L5728 ……………………………..
L5780 ……………………………..
L5781
L5782 ……………………………..
L5795 ……………………………..
L5814 ……………………………..
L5816 ……………………………..
L5856 ……………………………..
L5857 ……………………………..
L5858 ……………………………..
L5930 ……………………………..
L5960 ……………………………..
L5964 ……………………………..
L5966 ……………………………..
L5968 ……………………………..
L5973 ……………………………..
L5979 ……………………………..
L5980 ……………………………..
L5981 ……………………………..
L5987 ……………………………..
L5988 ……………………………..
L5990
L5818 ……………………………..
L5822 ……………………………..
L5824 ……………………………..
L5826 ……………………………..
L5828 ……………………………..
L5830 ……………………………..
L5840 ……………………………..
L5845 ……………………………..
L5848
L5856 ……………………………..
L5857 ……………………………..
L5858 ……………………………..
L5930 ……………………………..
L5960 ……………………………..
L5964 ……………………………..
L5966 ……………………………..
L5968 ……………………………..
L5973 ……………………………..
L5979 ……………………………..
L5980 ……………………………..
L5981 ……………………………..
L5987 ……………………………..
L5988 ……………………………..
L5990
L5856 ……………………………..
L5857 ……………………………..
L5858 ……………………………..
L5930 ……………………………..
L5960 ……………………………..
L5964 ……………………………..
L5966 ……………………………..
L5968 ……………………………..
L5973 ……………………………..
L5979 ……………………………..
L5980 ……………………………..
L5981 ……………………………..
L5987 ……………………………..
L5988 ……………………………..
L5990