{"abstract":"This document announces the updated Healthcare Common Procedure Coding System (HCPCS) codes on the Master List. It also announces updates to the HCPCS codes on the Required Face-to-Face and Written Order Prior to Delivery List and the Required Prior Authorization List.","action":"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 (the \"Master List\") and updates to the Required Face-to-Face and Written Order Prior to Delivery List and the Required Prior Authorization List.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2024/05/13/2024-10356.html","cfr_references":[{"chapter":null,"citation_url":null,"part":410,"title":42},{"chapter":null,"citation_url":null,"part":414,"title":42}],"citation":"89 FR 41324","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Implementation of updates to the Master List and the Required Face-to-Face and Written Order Prior to Delivery List are effective on August 12, 2024. Required prior authorization of newly added lumbar- sacral orthoses and lower limb orthoses is effective nationwide on August 12, 2024. Prior authorization of newly added osteogenesis stimulators will be implemented in two phases, with phase 1 including one State per Durable Medical Equipment Medicare Administrative Contractor (DME MAC) jurisdiction on August 12, 2024. The States included in phase 1 are California, Florida, Ohio, and Pennsylvania. Phase 2 will include all remaining U.S. States and territories not included in phase 1, effective on November 12, 2024.","disposition_notes":null,"docket_ids":["CMS-6095-N"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":0,"comment_start_date":"2024-05-13","updated_at":"2024-09-03T17:03:21.642-04:00","comment_url":"https://www.regulations.gov/commenton/CMS-2024-0170-0001","allow_late_comments":false,"id":"CMS-2024-0170-0001","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2024-0170","title":"Update to the Master List of DMEPOS Items Subject to Unnecessary Utilization, Face-to-Face Encounter, and Written Order Prior to Delivery Requirements; Items  Subject to Prior Authorization Requirements  (CMS-6905-N)"}],"document_number":"2024-10356","effective_on":"2024-08-12","end_page":41331,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2024/05/13/2024-10356.xml","html_url":"https://www.federalregister.gov/documents/2024/05/13/2024-10356/medicare-program-updates-to-the-master-list-of-items-potentially-subject-to-face-to-face-encounter","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2024-10356?publication_date=2024-05-13","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2024-05-13/2024-10356/mods.xml","not_received_for_publication":null,"page_length":8,"page_views":{"count":2425,"last_updated":"2026-04-04 18:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-05-13/pdf/2024-10356.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-10356.pdf?1715345132","publication_date":"2024-05-13","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2024/05/13/2024-10356.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2024-0170","supporting_documents_count":0,"docket_id":"CMS-2024-0170","document_id":"CMS-2024-0170-0001","regulation_id_number":null,"title":"Update to the Master List of DMEPOS Items Subject to Unnecessary Utilization, Face-to-Face Encounter, and Written Order Prior to Delivery Requirements; Items  Subject to Prior Authorization Requirements  (CMS-6905-N)","checked_regulationsdotgov_at":"2024-06-04T13:00:09Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":41324,"subtype":null,"title":"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 and Written Order Prior To Delivery List; and Updates to the Required Prior Authorization List","toc_doc":"Master List of Items Potentially Subject to Face-to-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements, Required Face-to-Face and Written Order Prior to Delivery List, and Required Prior Authorization List","toc_subject":"Medicare Program:\n","topics":[],"type":"Rule","volume":89}