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August 17, 2026

Starting October 28, 2026: New Codes Added to Required Prior Authorization

CMS added new codes to the Required Prior Authorization ListExternal PDF.

The following codes require prior authorization nationwide effective October 28, 2026:

  • Orthoses: L0456, L0457, L0486, L1833
  • Group 3 Pressure Reducing Support Surface: E0194
  • Manual Wheelchair: K0005

The following codes require Prior Authorization in phases:

  • Upper Limb Orthoses: L3761 and L3916

Phases

  • Phase 1: 10/28/26 (NY, MI, FL and CA)
  • Phase 2: 01/26/2027 (PA, MA, OH, IL, TX, GA, AR, and OR)
  • Phase 3: 04/26/2027 Nationwide

CGS will share more information as it becomes available. Check our Prior Authorization page and Jurisdiction B News page for updates. Make sure you are signed up for Electronic Mailing List to get direct email notifications.

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