+1 (561) 880-4394
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+1 (561) 880-4394
contact@avamedsupply.com
North Palm Beach, FL 33408

What is PDAC Approval & Why It Matter?

May 30, 2025 by 

If you work in the world of Durable Medical Equipment (DME), you’ve probably heard the phrase “PDAC-approved” tossed around. But what does it actually mean? And why should it matter to you—whether you’re a healthcare provider, billing specialist, or a DME supplier trying to navigate Medicare rules?

At Ava Medical Supply, we deal with this every day. As a B2B dropshipping supplier, we help our clients deliver PDAC-approved products—like the L1833 Knee Brace—directly to their patients. That means no inventory hassle, faster shipping, and, most importantly, compliance with Medicare billing requirements.

What is PDAC?

PDAC stands for Pricing, Data Analysis, and Coding. It’s a program managed by a contractor to the Centers for Medicare & Medicaid Services (CMS), and its main job is to help determine the correct HCPCS (Healthcare Common Procedure Coding System) codes for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS).

When a product is PDAC-approved Think of PDAC as a quality checkpoint. It means it has gone through a formal review process to ensure it matches a specific HCPCS code. This matters because using the right code is critical for getting reimbursed by Medicare or other insurance providers.

Let me Explain you this with an example, if you’re supplying a L1833 Knee Brace to your paitents, it needs to meet certain requirements and be listed as PDAC-verified. Without verification billing for the braces could be denied—even if the product itself is medically necessary.

Why PDAC Approval Really Matters for Suppliers?

Accurate Medicare Billing- It Helps You Get Paid

Medicare doesn’t mess around when it comes to codes. If you’re billing for a product like the L1833 Knee Brace but it’s not PDAC-approved under that code? There’s a good chance your claim will be denied. That means delays and resubmissions. If it is PDAC-approved braces, you’re using the right HCPCS code from the start—so you can bill correctly and get reimbursed faster.

Compliance & Trust- Keep You Out of Trouble

PDAC approval isn’t just about codes. It means product meets medicare approved quality and specification standards. That’s a big deal as Supplier specially when you want to stay compliant and build credibility with clinics, physicians, and billing teams.

It’s a Game-Changer for Dropshipping

If you’re a B2B dropshipping supplier like us, you know how important it is to ship the right product directly to the right patient—fast. PDAC-approved DME products keeps the process smooth. No guesswork and No compliance issues. Just verified products ready to ship to your patients.

Sometimes, It’s Non-Negotiable

Some items like the L1833 brace actually require PDAC code verification to be billed to Medicare at all. If you dont have approval you will not get reimbursement. It’s that simple.

What Products Need PDAC Approval?

You might be wondering—does every piece of medical equipment need to be PDAC approved? but that is not truth it is not mandatory for every DMEPOS product but certain product categories requires verification before they can be billed to Medicare. So, which Common Product Categories Requiring PDAC Approval Let’s break it down:

Knee Braces

Think of HCPCS codes like L1832, L1833, and L1851. These are commonly used for post-surgical recovery or joint support. If they’re not PDAC approved, Medicare might reject the bill reimbursement. Best Example is L1832, L1833, L1851. These braces provide stability and support for post-surgical or joint support conditions. If it is not PDAC approved medicare might reject the bill.

Back Braces (LSOs)

Braces coded as L0648 or L0650 are another example. They need to meet specific criteria, and PDAC approval confirms they check all the right boxes.

Custom-Fitted and Prefab Braces

Some off-the-shelf products labeled as “custom-fitted” actually need PDAC verification to qualify for the correct billing code and reimbursement.

Other DMEPOS Equipment

This could include diabetic shoes, prosthetics, wound care items, and more—depending on Medicare’s rules.

Why should you care?

If you bill Medicare for a product that should be PDAC approved but isn’t, you’re taking a big risk. Your claim could be denied or delayed. That means lost time, lost money, and a frustrated patient or client. That’s why at Ava Medical Supply, we focus on providing PDAC approved products—like our popular L1833 Knee Brace—so you can bill with confidence and stay compliant.

Why PDAC Approval Matters for Medicare Billing?

If you’ve ever dealt with Medicare billing, you already know it can be a maze of codes, requirements, and paperwork. That’s where PDAC approval steps in and makes life a bit easier—for both suppliers and providers. Here’s why it’s a big deal:

1) Accurate HCPCS Coding
2) Fewer Claim Denials
3) Compliance with Medicare Guidelines
4) Peace of Mind for Suppliers and Providers

Real-World Example:
At Ava Medical Supply, we only offer PDAC approved knee braces, like our L1833, so our B2B clients can confidently send them straight to patients knowing the equipment is compliant and billing-ready.

Choosing a PDAC Approved Supplier ?Why It Matters

If you want to stay away from the medical billing headaches then you should choose PDAC Approved Supplier.

It Keeps You Compliant

When you work with a PDAC approved supplier, like Ava Medical Supply, you know the products you’re sending to patients are already verified for the correct HCPCS codes. That means fewer surprises and no guesswork when it’s time to bill.

Billing Becomes Way Easier

Let’s be honest—Medicare billing can be a nightmare. But when your supplier only stocks PDAC-approved items, you’re one step ahead. Your codes line up, your claims go through smoothly, and you don’t waste time fixing denied submissions.

It Builds Trust

Doctors, clinics, and billing teams want to work with suppliers they can count on. Being able to say, “Yes, this product is PDAC approved” instantly builds credibility. It shows you know your stuff and care about doing things the right way.

It Saves You from Costly Mistakes

Supplying the wrong product—or the right product without proper verification—can mean delays, denied claims, and frustrated clients. A PDAC approved supplier helps you avoid all that drama by getting it right from the start. At Ava Medical Supply, we’ve built our entire dropshipping model around this. Products like our L1833 Knee Brace are not only ready to ship—they’re PDAC verified and billing-ready. That’s one less thing you have to worry about.
Whether it’s knee braces like the L1833, back supports, or other critical DMEPOS items, having the right HCPCS coding and PDAC verification is key. If you’re supplying DME braces supplier then PDAC approval isn’t something you can afford to overlook.

Need PDAC-approved products shipped directly to your patients?

We’ve got your back—with verified inventory, fast fulfillment, and peace of mind built in.