As of July 3, ADMC requests for K0856 and K0861 will no longer be accepted. As a condition of payment these codes must be sent to prior authorization (PA). However, ADMC approvals will be accepted for up to 6 months from the date of the ADMC approval letter even after the July 17 effective date for PA. If you have an ADMC approval for one of those two codes, you DO NOT need to submit to PA even if the date of service is on or after July 17.
Join me on a webinar on August 9 at 1 p.m. CDT that will discuss Prior Authorizations for K0856 and K0861. Click here for details and to register.
If you have any questions please contact me at 570-499-8459 or email@example.com.
Reimbursement Specialist, U.S. Rehab