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From the Reimbursement Team: Prior Authorization for PMD Codes K0856 and K0861 to Begin in March 2017!

CMS has announced that prior authorization (PA) for power wheelchair codes K0856 (Group 3 single power option) and K0861 (Group 3 multiple power option) will begin in March in New York, Illinois, Missouri and West Virginia. It is expected to go nationwide in July.

PA requests from New York, Illinois, Missouri and West Virginia will be accepted beginning March 6 for dates of service on or after March 20. If you service Medicare beneficiaries who reside in one of these first four states, please be prepared to submit for prior authorization for these codes, otherwise the claims will be denied…

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