tci Medicare Compliance & Reimbursement - 2004 Issue 19

DME: New Codes, More Changes For Power Wheelchairs

Planned bright lines should help suppliers figure out coverage.The Centers for Medicare & Medicaid Services is on to the next stage of its battle against power wheelchair fraud and abuse. And that stage will contain some of the suggestions wheelchair suppliers have made in the last eight months under Operation Wheeler Dealer. One major part of the plan: expanding the coding choices for power wheelchairs. "Currently, most power wheelchairs are billed under a single code (K0011), for which Medicare has set a single ceiling amount of $5,296.50, even though different models of these wheelchairs have...

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