PDAC Email Distributions



PDAC Email Distributions Articles

Insulin Infusion Pumps with Integrated Continuous Glucose Sensing Capabilities and Related Accessories/Supplies - Codes E0787 and A4226 - Correct CodingCorrect Coding and Coverage of Ventilators - Revised July 2020Insulin Infusion Pumps with Integrated Continuous Glucose Sensing Capabilities and Related Accessories/Supplies - Codes E0787 and A4226 - Correct CodingPDAC HCPCS Helpline Closed April 19, 2019LIM Innovation Infinite Socket - Correct Coding - RevisedPDAC HCPCS Helpline Closed September 2, 2019PDAC HCPCS Helpline Closed - May 25, 2020Endoskeletal Prosthetic Knee-Shin Systems - Correct CodingPDAC Website EnhancementsPDAC HCPCS Helpline Closed - November 28 and 29, 20192020 HCPCS Code Annual Update - Correct CodingPDAC HCPCS Helpline Closed - January 1, 2020Panzyga (Immunoglobulin Intravenous (Human), 10%) Correct Coding and Coverage - RevisedContinuous Glucose Monitor Supplies - Correct Coding and BillingPDAC HCPCS Helpline Closed - April 10, 2020PDAC HCPCS Helpline Closed October 14, 2019PDAC HCPCS Helpline Closed - February 17, 2020PDAC HCPCS Helpline Closed - January 20, 2020PDAC HCPCS Helpline Closed - December 24 and 25, 2019Product Classification List Update - RELiZORB (Alcresta Therapeutics) In-Line CartridgePalmetto GBA Will Be the PDAC Contractor Beginning January 15, 2019Correct Coding - Incorrect Use of HCPCS Code K0108 to Bill for a Privacy FlapCorrect Coding - Incorrect Use of HCPCS Code K0108 to Bill for Anti-Tip Devices for Manual WheelchairsCorrect Coding - Custom Fabricated Wheelchair Seat and Back CushionsPDAC Contact Center Closed - May 28, 2018Correct Coding - Incorrect Use of HCPCS Code K0108 to Bill for an ActuatorPDAC Contact Center Closed - March 30, 2018Correct Coding - Incorrect use of HCPCS Code K0108 to Bill for Transit System and Associated BracketCorrect Coding - Incorrect Use of HCPCS Code K0108 to Bill for Front Riggings: Shoe Holder or Shoe Holder Replacement StrapsPDAC HCPCS Helpline Closed January 21, 2019Correct Coding - Incorrect Use of HCPCS Code K0108 to Bill for Wheelchair Ventilator TrayCorrect Coding - Inserts Used with Therapeutic Shoes for Persons with Diabetes (A5512, A5513, K0903)PDAC Contact Center Closed - July 4, 2018DMECS Update ListingCorrect Coding - Replacement Cecostomy TubeCorrect Coding - Warranty, Reasonable Useful Lifetime (RUL), and the Minimum Lifetime Requirement (MLR) for Durable Medical EquipmentPDAC Contact Center Closed - February 15, 2018PDAC HCPCS Helpline Closed February 18, 2019Correct Coding - Incorrect Use of HCPCS Code K0108 to Bill for a Wheelchair HeadrestCorrect Coding - Incorrect Use of HCPCS Code K0108 to Bill for Labor ChargersCorrect Coding - Incorrect Use of HCPCS Code K0108 to Bill for Front Riggings: Calf Pad or Calf SupportCorrect Coding - Incorrect use of HCPCS Code K0108 to Bill for a Wheel Lock Brake Extension for Manual WheelchairsCorrect Coding - Incorrect Use of HCPCS Code K0108 to Bill for Replacement of Wheelchair Seat and Back UpholsteryCorrect Coding - Incorrect Use of HCPCS Code K0108 to Bill for Battery ReplacementCorrect Coding - Incorrect Use of HCPCS Code K0108 to Bill for Wheelchair TrayPDAC Contact Center Closed - November 22 and 23, 2018Correct Coding - Incorrect Use of HCPCS Code K0108 to Bill for a Battery ChargerCorrect Coding - A9286 - Hygienic Item or Device, Disposable or Non-disposable, Any Type, EachNew DMECS Features Now Available - September 21, 2018Continuous Glucose Monitors - Use of Smart DevicesCorrect Coding - Incorrect Use of HCPCS Code K0108 to Bill for a Drive Wheel Gear BoxContract Change: Important NoticePDAC Contact Center Closed - October 8, 2018Correct Coding - Porta-Lung Negative Pressure Ventilator - RevisedNew DMECS Features Coming SoonTopical Oxygen Therapy Used for Wound Care - an UpdateCorrect Coding - Q9994 (In-Line Cartridge Containing Digestive Enzyme(s) For Enteral Feeding, Each) Coverage Indicator ChangePDAC Contact Center Closed - November 6, 2018PDAC Contact Center Closed - September 3, 2018Intermittent Outage on PDAC WebsiteL1005 - Tension Based Scoliosis Orthosis and Accessory Pads, Includes Fitting and Adjustment - Correct CodingPDAC Coding Guidelines for Off-the-Shelf Diabetic Shoes (A5500)Incorrect Use of HCPCS Code A9279 - Correct CodingEnteral Nutrition - Correct Coding and BillingProsthetic Feet and Additions to Lower Limb Extremity Prostheses - Correct Coding and Coding Verification Review Requirement Ankle-Foot Orthoses - Arizona-Type - Correct Coding - RevisedL3960 - Coding Verification Review RequirementXembify - Correct CodingPDAC HCPCS Helpline Closed - January 18, 2021Billing of Powered L-Coded Items - Correct Coding - RevisedPDAC HCPCS Helpline Closed - October 12, 2020Scoliosis Brace - Correct CodingScoliosis Brace - Correct CodingMyoPro® (Myomo, Inc.) Assist Device - Correct Coding - RevisedL1686 Prefabricated Hip Abduction Orthosis - Correct CodingParenteral Nutrition - Correct Coding and BillingPDAC HCPCS Helpline Closed - September 7, 2020PDAC HCPCS Helpline Closed - November 11, 2020PDAC HCPCS Helpline Closed - April 2, 2021Important: DMECS PCL Update Process ChangeNew Applications Only - Effective September 1, 2018PDAC HCPCS Helpline Closed - December 23 and 24, 2021PDAC HCPCS Helpline Closed - January 17, 2022PDAC HCPCS Helpline Closed - February 21, 2022PDAC HCPCS Helpline Closed - December 31, 2021PDAC HCPCS Helpline Closed - November 25 and 26, 2021PDAC HCPCS Helpline Closed - November 11, 2021PDAC HCPCS Helpline Closed - October 11, 2021PDAC HCPCS Helpline Closed - September 6, 2021PDAC HCPCS Helpline Closed - July 5, 2021PDAC HCPCS Helpline Closed - May 31, 2021PDAC HCPCS Helpline Closed - February 15, 2021PDAC HCPCS Helpline Closed - May 30, 2022Incorrect Use of HCPCS Codes for Custom Fit OrthoticsL1690 Prefabricated Bilateral Lumbo-sacral Hip Orthosis - Correct Coding2023 HCPCS Code Update - January Edition - Correct CodingPDAC HCPCS Helpline Closed - October 10, 2022PDAC HCPCS Helpline Closed - November 11, 2022PDAC HCPCS Helpline Closed - November 24 and 25, 2022PDAC HCPCS Helpline Closed - July 4, 2022PDAC HCPCS Helpline Closed - September 5, 2022PDAC HCPCS Helpline Closed - April 15, 2022PDAC HCPCS Helpline Closed - April 7, 2023PureWick Urine Collection System - Coding and Billing Instructions - Revised2023 HCPCS Code Update - April Edition - Correct CodingPDAC HCPCS Helpline Closed - May 29, 2023PDAC HCPCS Helpline Closed - June 19, 2023PDAC HCPCS Helpline Closed - July 4, 20232023 HCPCS Code Update - July Edition - Correct CodingPDAC HCPCS Helpline Closed - September 4, 2023NEW - Online Application for Code Verification Review PDAC HCPCS Helpline Closed - December 23 and 26, 2022PDAC HCPCS Helpline Closed - January 2, 2023PDAC HCPCS Helpline Closed - January 16, 2023Panzyga (Immunoglobulin Intravenous (Human), 10%) Correct Coding and Coverage - Revised2022 HCPCS Code Update - October Edition - Correct CodingBasics of Choosing the Correct HCPCS Code - Correct Coding2022 HCPCS Code Update - July Edition - Correct Coding2022 HCPCS Code Update - April Edition - Correct Coding - RevisedCode Verification Review Requirement for Lower Limb Orthoses (L1832, L1833, and L1851) and Lumbar Sacral Orthoses (L0648 and L0650)Upper Limb Protheses - Correct CodingCorrect Coding and Billing of Halo ProcedurePDAC Code Verification Reviews for CGM Devices - Coding and BillingContinuous Glucose Monitors - Correct Coding and Billing - RevisedContinuous Glucose Monitors - Correct Coding and BillingIrrigation Supply Sleeves - Correct CodingPartial Foot, Shoe Insert (Toe Fillers), and Shoe Inserts for Diabetics - Coding Based on Benefit Category - Correct Coding2022 HCPCS Code Update - January Edition - Correct CodingParenteral Nutrition - Correct Coding and Billing - RevisedEnteral Nutrition - Correct Coding and Billing - RevisedCorrect Coding of Finger, Hand, Hand-Finger and Wrist-Hand-Finger Braces (Orthoses) - RevisedCorrect Coding of Elbow, Shoulder, Shoulder-Elbow-Wrist-Hand and Shoulder-Elbow-Wrist-Hand-Finger Braces (Orthoses)Articulating Digit(s) and Prosthetic Hands - Correct Coding - RevisedBilling and Code Verification of HCPCS Code E0467 (Multi-Functional Ventilator) - Correct CodingMedicare Coverage for Shoes - Correct Coding - RevisedCorrect Coding of Finger, Hand, Hand-Finger and Wrist-Hand-Finger Braces (Orthoses)2021 HCPCS Code Update - October Edition - Correct CodingPureWick Urine Collection System - Coding and Billing InstructionsInsulin Used with Continuous External Insulin Infusion Pumps - Correct Coding - RevisedWarranty, Reasonable Useful Lifetime (RUL), and the Minimum Lifetime Requirement (MLR) for Durable Medical Equipment - Correct Coding - RevisedUPDATE: Revision to PDAC Code Verification Review Application and Related FormsL1690 Prefabricated Bilateral Lumbo-sacral Hip Orthosis - Correct Coding - RevisedHCPCS Code Updates - July 2021, April 2021, and October 2020 - Correct CodingIncorrect Use of HCPCS Code A9279 - Correct Coding - RevisedCode Verification Review Requirement for Articulating Digit(s) and Prosthetic Hands - RevisedRecent Updates to PDAC WebsiteCode Verification Review Requirement for Articulating Digit(s) and Prosthetic HandsCustom Fabricated Wheelchair Seat and Back Cushions - Correct Coding - RevisedDefinitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correct Coding - RevisedCustom Fitted Orthotic HCPCS Codes Without a Corresponding Off-the-Shelf Code - Correct CodingMyoPro (Myomo, Inc.) Assist Device - Correct Coding - RevisedAdditions to PDAC Product Sample RequirementsCorrect use of Not Otherwise Specified L-codes for Orthoses and Prostheses - Billing ReminderHCPCS Codes K1018 and K1019 - Correct CodingCorrect Coding and Coverage of Ventilators - RevisedL1681 Prefabricated Bilateral Hip Abduction Orthosis - Correct Coding2023 HCPCS Code Update - October Edition - Correct CodingPDAC HCPCS Helpline Closed - October 9, 2023PDAC HCPCS Helpline Closed - November 10, 2023PDAC HCPCS Helpline Closed - November 23 and 24, 2023Lymphedema Compression Treatment Items - Correct Coding and BillingPDAC HCPCS Helpline Closed - December 25 and 26, 2023PDAC HCPCS Helpline Closed - January 1, 2024PureWick Urine Collection System - Coding and Billing Instructions - RevisedPowered Upper Extremity Exoskeleton - Correct CodingPowered Lower Extremity Exoskeleton - Correct CodingHCPCS Codes K1018 and K1019 - Correct Coding - RevisedPDAC HCPCS Helpline Closed - January 15, 20242024 HCPCS Code Update - January Edition - Correct CodingExternal Infusion Pumps and Related DrugsLymphedema Compression Treatment Items Requirement for Registration with the Food and Drug Administration3-D Printed Orthotic Devices - Correct CodingPDAC HCPCS Helpline Closed - February 19, 2024External Infusion Pumps and Related Drugs - RevisedLymphedema Compression Treatment Items - Correct Coding and Billing - RevisedPDAC HCPCS Helpline Closed - March 29, 2024PureWick Urine Collection System - Coding and Billing Instructions - Revised2024 HCPCS Code Update - April Edition - Correct CodingPDAC HCPCS Helpline Closed - May 27, 2024Correct Billing and Coding of VentilatorsCode Verification Review Requirement for Multi-Functional VentilatorsCode Verification Review Requirement for Lower Limb Orthoses (L1843, L1951) and Osteogenesis Stimulator (E0747, E0748, E0760)PDAC HCPCS Helpline Closed - June 19, 2024PDAC Coding Guidelines for Gradient Compression Garments for Lymphedema TreatmentREVISED - Section C Form for Gradient Compression GarmentsPDAC HCPCS Helpline Closed - July 4, 2024ALYGLO® (immune globulin intravenous, human-stwk), 10% Liquid - Correct Coding and CoverageOhtuvayre® (ensifentrine) - Correct Coding and CoveragePDAC HCPCS Helpline Closed - September 2, 2024Correct Coding of Elbow, Shoulder, Shoulder-Elbow-Wrist-Hand and Shoulder-Elbow-Wrist-Hand-Finger Braces (Orthoses) – RevisedPrior Authorization and Code Verification Review Requirement for Lower Limb Orthoses (L1843, L1845, L1951) and Spinal Orthoses (L0631, L0637, L0639)2024 HCPCS Code Update - October Edition - Correct CodingPDAC HCPCS Helpline Closed - October 14, 2024Pneumatic Compression Devices - Correct Coding and BillingPDAC HCPCS Helpline Closed - November 11, 2024Code Verification Review Requirement for Lower Limb Orthoses (L1832, L1833, and L1851) and Lumbar Sacral Orthoses (L0648 and L0650) - RevisedPDAC HCPCS Helpline Closed - November 28 and 29, 2024PDAC HCPCS Helpline Closed - December 24 and 25, 2024PDAC HCPCS Helpline Closed - January 1, 2025Hydrophilic Intermittent Urinary Catheter Crosswalk2025 HCPCS Code Update - January Edition - Correct CodingPDAC HCPCS Helpline Closed - January 20, 2025Ohtuvayre® (ensifentrine) - Correct Coding and Coverage - RevisedConcentric Adjustable Torsion Joints - Correct Coding - RevisedNebulizers, External Infusion Pumps and Related DrugsPDAC HCPCS Helpline Closed - February 17, 2025New HCPCS Codes for Dynamic Adjustable Joint Stretching Devices - Coding and BillingVYALEV® (foscarbidopa and foslevodopa), the VYAFUSER Pump, and Related Infusion Supplies - Correct Coding and Billing - RevisedNew HCPCS Codes for Wheelchair Accessories - Coding and Billing2025 HCPCS Code Update - April Edition - Correct CodingLymphedema Compression Treatment Items - Correct Coding and Billing - RevisedNew HCPCS Codes for Wheelchair Transportation/Transit Securement Systems - Correct CodingProduct Classification List (PCL) Updates and Crosswalks - Effective April 1, 2025PDAC HCPCS Helpline Closed - April 18, 2025Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correct Coding - RevisedCustom Fitted Orthotic HCPCS Codes Without a Corresponding Off-the-Shelf Code - Correct Coding - RevisedPDAC Coding Guidelines for Gradient Compression Garments for Lymphedema Treatment - RevisedVYALEV® (foscarbidopa and foslevodopa), the VYAFUSER Pump, and Related Infusion Supplies - Correct Coding and Billing - RevisedPDAC HCPCS Helpline Closed - May 26, 2025Lymphedema Compression Treatment Items - Correct Coding and Billing - RevisedUpdates to NDC/HCPCS Crosswalk Web Page ContentNew HCPCS Codes for Wheelchair Transportation/Transit Securement Systems - Correct Coding - Revised