VGM & ASSOCIATESHealthcare MSO
Full Menu Search

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

  1. oxygen
  2. vgm
  3. vgm government

Get Connected

Stay up-to-date on the latest resources and news provided by VGM & Associates.

Sign Up for Email

From Our Experts

A Tribute to John Gallagher: A Journey of Dedication and Memories thumbnail A Tribute to John Gallagher: A Journey of Dedication and Memories When I started working for John Gallagher 12 years ago, I often heard the phrase, “baptism by fire.” I quickly learned what that meant. At the time, the team consisted of John Gallagher, Mark Higley, and Tom Powers, and they were all constantly on the road. I would get a phone call from John saying, “The ESRD was just released, look it up and write up a summary, we need to get this to our members ASAP. I'm hopping on a plane…get it out before the end of the day.” Rep Mariannette Miller-Meeks Introduces The Veterans Supporting Prosthetics Opportunities and Recreational Therapy (“SPORT”) Act thumbnail Rep Mariannette Miller-Meeks Introduces The Veterans Supporting Prosthetics Opportunities and Recreational Therapy (“SPORT”) Act Rep. Mariannette Miller-Meeks (R-Iowa), who, along with proving to be a champion of DMEPOS related legislation, serves as chair on the House Veterans Affairs Subcommittee on Health. Recently she introduced H.R. 9478, The Veterans Supporting Prosthetics Opportunities and Recreational Therapy (“SPORT”) Act. Congress Passes, President Signs Continuing Resolution thumbnail Congress Passes, President Signs Continuing Resolution As you know by now, Congress passed a Continuing Resolution (CR) to keep the government operating for another three months. Signed by President Joe Biden, this resolution will only fund critical government operations through March 31, 2025. Breaking: Year-End Package Update thumbnail Breaking: Year-End Package Update As lawmakers race to avert a government shutdown ahead of this Friday's deadline, we have learned that the provision to reinstate and extend the 75/25 blended rate will not be included in the proposed continuing resolution that is expected to fund the federal government until March 14, 2025. Despite exhaustive bipartisan efforts from all reaches of the HME community, including providers and stakeholders, there was not enough support to get it included in the package. CMS Releases CPI-U Adjustments For DMEPOS In 2025 And Fee Schedule Q1 thumbnail CMS Releases CPI-U Adjustments For DMEPOS In 2025 And Fee Schedule Q1 The Centers for Medicare & Medicaid Services (CMS) has released the Consumer Price Index for All Urban Consumers (CPI-U) adjustments for the Calendar Year 2025 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule. BREAKING – Rep. Guthrie Tapped To Lead Energy And Commerce Committee thumbnail BREAKING – Rep. Guthrie Tapped To Lead Energy And Commerce Committee The House Republican Steering Committee recommended Rep. Brett Guthrie (R-KY) on Monday to be the next chairman of the Energy And Commerce Committee. The Energy And Commerce Committee has jurisdiction over a broad range of policy issues and federal departments, including healthcare, the Department Of Energy, the Food And Drug Administration, and more. Guthrie has sat on five of the panel's six subcommittees and is chair of its health subcommittee. Action Needed: Support DME Legislation As The 118th Congress Concludes thumbnail Action Needed: Support DME Legislation As The 118th Congress Concludes As the 118th Congress draws to a close, we urgently need your help. Congressional negotiations are currently underway to determine the scope of end-of-year health and budget legislation. We are optimistic that the DME Legislation (H.R. 5555 and S. 1294) will be included in the final legislative package, but your support is crucial to ensure this happens! Champions of Change: Choice Medical thumbnail Champions of Change: Choice Medical We are proud to recognize two HME suppliers and VGM members who have recently taken the initiative to engage with their legislators and staff members.

Give your business an advantage over the competition.

Become a Member