What Does PDAC Approval Mean?
For Patients
PDAC approval means that a product has been reviewed and approved by Medicare's Pricing, Data Analysis, and Coding (PDAC) contractor. When you see the "PDAC Approved" badge on a product, it indicates:
- The product has met Medicare's stringent quality and functionality standards.
- The product has been assigned a specific HCPCS code for billing purposes.
- Many private insurance companies also recognize PDAC approval when processing claims.
Important: Brace Direct does not bill insurance directly. To learn why, see our page: Why We Don't Bill Insurance.
For Healthcare Providers
As a healthcare provider, recommending PDAC approved products offers several advantages:
- Streamlined Billing: PDAC-approved products have established HCPCS codes for easy Medicare billing.
- Increased Approval Rates: Products with PDAC approval meet Medicare's standards, reducing claim denials.
- Quality Assurance: PDAC approval independently verifies medical standards and product quality.
- Patient Confidence: Patients can purchase confidently knowing the product meets Medicare standards.
When recommending a PDAC-approved product, include:
- The appropriate HCPCS code (provided on our product pages)
- Proper documentation of medical necessity
- Relevant diagnosis codes
About PDAC Approval
The PDAC (Pricing, Data Analysis, and Coding) contractor evaluates products based on:
- Quality of materials and construction
- Durability and functionality
- Compliance with coding guidelines
- Consistency with established medical standards
Products undergo rigorous review before receiving PDAC approval, ensuring they meet the high standards required for Medicare.
At Brace Direct, we clearly label all PDAC-approved products, helping patients and providers make informed medical equipment choices.
Have questions? Contact us directly at support@bracedirect.com.