Table of Contents
What is a PDAC code?
PDAC is the pricing, coding analysis, and coding (PDAC), contractor to CMS.
What does Pdac stand for Medicare?
Suppliers should check with the pricing, coding analysis, and coding (PDAC), contractor to CMS. The PDAC is responsible for providing suppliers and manufacturers with assistance in determining which HCPCS code should be used to describe DMEPOS items for the purpose of billing Medicare.
What is KF modifier for Medicare?
Modifier KF is a pricing modifier. The HCPCS codes for DME designated as class III devices by the FDA are identified on the DMEPOS fee schedule by presence of the KF modifier.
What is the purpose of Dmecs?
DMECS is a coding guide for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) manufacturers, distributors, and suppliers that provides HCPCS Level II coding information applicable to claim submission to the DME MAC.
How long does it take to get a CMS code?
Code verification takes about 65 days. The application form and accompanying instructions are on the PDAC website. As a matter of practice, all payers generally follow the PDAC’s code verification decisions, not just Medicare.
What is Pdac verification?
The PDAC Code Verification Review process provides a mechanism for a product’s manufacturer or designated representative to request a HCPCS code be assigned to a Durable Medical Equipment, Prosthetic, Orthotic or Supply (DMEPOS) product.
What is the KF modifier used for?
Although not associated with a specific , the KF modifier is required for claim submission of this HCPCS code as well. This information will be added to the applicable -related Policy Articles in an upcoming revision….Publication History.
What is a PDAC?
Pricing Data Analysis and Coding (PDAC)
Who is the pricing data analysis and coding ( PDAC ) contractor?
The Pricing Data Analysis and Coding (PDAC) contractor is contracted by CMS to assist suppliers and manufacturers in the proper use of the Healthcare Common Procedure Coding System (HCPCS).
Where can I find the PDAC classification list?
The Product Classification List is located on Durable Medical Equipment Coding System (DMECS) which is located on the PDAC website. The PDAC coding verification applications required for these products are located on the PDAC website.
Is there a toll free helpline for the PDAC?
The PDAC has a toll free helpline for this purpose, (877) 735-1326. In addition, the PDAC publishes a product classification list on its website that lists individual items to code categories. More information about the PDAC and the PDAC’s product classification list can be found at the PDAC website.
What is the role of PDAC in DMEPOS?
The PDAC plays a key role in the regionalization of DMEPOS claim processing. Some of their responsibilities include: Provide data analysis support to the DME Unified Program Integrity Contractors (UPICs) Guide manufacturers and suppliers on the proper use of the HCPCS through product reviews and decisions View the PDAC website.