Orthopedic Practices: New DMEPOS Prior Authorization Rules Start October 28 — Are Your Orders Ready?

Section analysis by Slava Kurdov, Billing Department, WCH

Editorial note: This article draws on the CMS Federal Register final rule (published July 30, 2026) updating the DMEPOS Master List, Required Face‑to‑Face Encounter/Written Order Prior to Delivery List, and Required Prior Authorization List; CMS’s Prior Authorization Process for Certain DMEPOS Items operational guidance; and AOPA coding‑and‑reimbursement commentary, current through September 2026. It is for informational and educational purposes only and does not constitute legal, coding, or compliance advice. Payer‑specific requirements should be verified against current CMS and DME MAC guidance before billing.