Review of Current PDAC Verified Össur Products and Codes – Knees and Feet

Linda Collins
07-06-2021
Blog

As discussed in previous posts, PDAC verification is required for 6 HCPCS codes (L5973, L5980, L5987 feet and L5856, L5857, L5858 knee codes) for the Medicare LLP Prior Authorization Program.

Many of our products have been verified for several years and with continued questions regarding PDAC verification, we want to provide a quick, inclusive list to all Ossur prosthetic knees and feet currently listed on PDAC.

Microprocessor Knees

  • RHEO® KNEE - L5828, L5845, L5848, L5850, L5856, L5925
  • RHEO KNEE® XC– L5828, L5845, L5848, L5856, L5925
  • POWER KNEE™ – L5828, L5845, L5848, L5859, L5856

Microprocessor Ankle Feet

  • PROPRIO® – L5973

Dynamic Response Foot with PIVOT Mechanism

  • PRO-FLEX® PIVOT – L5999

Dynamic Response Feet

  • Cheetah® Xplore – L5980
  • Cheetah® Xplore Junior – L5980
  • Pro-Flex® XC – L5981
  • Pro-Flex® XC Torsion – L5987, L5984
  • Talux® - L5981, L5986
  • Vari-Flex® - L5981
  • Vari-Flex® Junior – L5981
  • Vari-Flex® Modular – L5980
  • Flex-Foot® Balance – L5979
  • Re-Flex Shock™ - L5987
  • Re-Flex Rotate™ - L5987, L5984

What does this mean for you?

If the product you provide includes one of the six codes required for verification, verify correct coding on the Palmetto PDAC website.

You may review any product verification and subsequent codes on PDAC’s website.

If you have further questions about PDAC verification or prior authorization requirements, contact us directly at [email protected]