Skip to main content

VGM & ASSOCIATESHealthcare MSO

Search GO

Search GO

LEARN ABOUT VGM

Additional HCPCS Codes Added to F2F/WOPD Required List

Published in Government Relations on January 16, 2023

On Jan. 14, 2023, CMS released a public notice CMS-6088-N, adding 10 more HCPCS codes to the F2F/WOPD Required List. The effective date for these 10 new HCPCS codes in the brace category is April 2023.

The new codes include the following for back, knee, and ankle/foot braces:

L0631
L0637
L1843
L1932
L1940
L1951
L1960
L1970
L2005
L2036

The F2F Encounter/WOPD Required List already includes all HCPCS codes in the PMD product category and seven HCPCS codes effective nationally in 2022. With the 10 new codes, this makes the Required List for F2F/WOPD up to 63 HCPCS codes.

CMS has a webpage dedicated to information for suppliers. When a code makes the Required F2F/WOPD List, a patient must have a face-to-face encounter with their treating practitioner documenting the medical necessity for the item being prescribed. The medical necessity must meet the coverage criteria outlined within the respective medical policy (LCD).

In addition, the written order prior to delivery is required and must be completed within six months after the required F2F encounter. The Standard Documentation Requirements Policy includes these details.

If you have questions, please contact Ronda Buhrmester, Sr. Director of Payer Relations and Reimbursement.

TAGS

From Our Experts

VGM Government Relations Team Advocates for DME in Washington, D.C. thumbnail

VGM Government Relations Team Advocates for DME in Washington, D.C. VGM Government Relations team members joined industry leaders in Washington, D.C., this week for a series of impactful advocacy events, including the 2026 AAHomecare Legislative Conference, NCART Legislative Conference, and the AAHomecare Payer Relations Council meeting.

BREAKING NEWS: Big Win For DME Industry in North Carolina thumbnail

BREAKING NEWS: Big Win For DME Industry in North Carolina Congratulations to ACMESA on the passage of a Medicaid funding bill, which provides important stability for DMEPOS providers and the patients they serve.

Invite Your Federal Legislator to the CRT Product Expo in Washington, D.C. thumbnail

Invite Your Federal Legislator to the CRT Product Expo in Washington, D.C. During the upcoming NCART/iNRRTS U.S. Rehab Legislative Conference, NCART and U.S. Rehab will host a Complex Rehab Technology (CRT) Product Expo on May 13 from 11:30 a.m. to 2:00 p.m. in Washington, D.C. This Expo is a valuable opportunity for members of Congress and their staff to see firsthand how CRT products impact independence, mobility, and quality of life for individuals with disabilities.

Network Bidding Opens New Path for Small DMEPOS Suppliers thumbnail

Network Bidding Opens New Path for Small DMEPOS Suppliers CMS released a new FAQ clarifying that small DMEPOS suppliers may form networks to collectively meet licensure, accreditation, and enrollment requirements for the next round of the Competitive Bidding Program. This guidance creates a new pathway for small suppliers to compete, with additional education and networking support available through VGM initiatives.

VGM Group Highlights Value of DMEPOS Industry and Commends Efforts to Protect Patients and Communities thumbnail

VGM Group Highlights Value of DMEPOS Industry and Commends Efforts to Protect Patients and Communities VGM Group continues to underscore the effectiveness and efficiency of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) industry and its critical role across the healthcare continuum. The services and support provided by DMEPOS suppliers not only enhance patient outcomes and strengthen community health, but do so in a cost-effective manner that delivers meaningful savings to the healthcare system.

Thank You for Attending ‘What's Ahead for the DME Industry'. Recording Now Available. thumbnail

Thank You for Attending ‘What's Ahead for the DME Industry'. Recording Now Available. Thank you for joining VGM Group's Ike Isaacson and AAHomecare's Jay Witter legislative update webinar. With significant movement at the federal level, we appreciated the opportunity to share the latest developments, emerging challenges, and what suppliers should be watching right now.

WEBINAR: Current Legislative Update – What's Ahead for the DME Industry thumbnail

WEBINAR: Current Legislative Update – What's Ahead for the DME Industry Join VGM Group's Ike Isaacson and AAHomecare's Jay Witter for a timely legislative update on the issues shaping the DME industry. With significant movement at the federal level, this session will break down the latest developments, emerging challenges, and what suppliers should be watching right now.

Meet the Candidates: Rob Sand, Iowa State Auditor and Gubernatorial Candidate, Visits VGM thumbnail

Meet the Candidates: Rob Sand, Iowa State Auditor and Gubernatorial Candidate, Visits VGM On Thursday, April 16, VGM Group welcomed Iowa State Auditor and gubernatorial candidate Rob Sand to its headquarters as part of VGM's Meet the Candidates series.

Give your business an advantage over the competition.

Become a Member