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Open for comment Health and Human Services Department, Centers for Medicare & Medicaid Services RIN 0938-ZC04 Docket CMS-6109-N

CMS Updates HCPCS Codes Subject to Face-to-Face Encounter and Prior Authorization Requirements Effective July 30, 2026

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CMS Updates HCPCS Codes Subject to Face-to-Face Encounter and Prior Authorization Requirements Effective July 30, 2026

Annual updates add and remove specific HCPCS codes from lists requiring physician face-to-face encounters, written orders, and prior authorization for Medicare coverage. The Centers for Medicare & Medicaid Services (CMS) has issued updates to three key Medicare requirement lists affecting durable...

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Health and Human Services Department, Centers for Medicare & Medicaid Services · Medicare Program; Updates to the Master List of Items Potentially Subject to Face-to-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements; Updates to the Required Face-to-Face Encounter and Written Order Prior to Delivery List; and Updates to the Required Prior Authorization List · Jul 30