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Durable Medical Equipment Medicare Administrative Contractors (DME MACs) - Discontinuance/Cancellation of the Use of a "WL" Modifier on Claims for the DeWall Posture Protector Orthotic Body Jacket HCPCS Code (L0430)

The purpose of this Change Request is to ensure that DME MACs comply with the settlement agreement in the DeWall Case in the processing of durable medical equipment (DME) claims for the Posture Protector Spinal Orthosis (HCPCS Code L0430). This instruction also notifies contractors to retire all use of the "WL" modifier.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 15, 2007

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.