tci Medicare Compliance & Reimbursement - 2006 Issue 37

PMDs: CMS Clarifies PMD Coverage Determination

Implementation on codes, LCD delayed until Nov. 15.Medicare will still pay for a Group 2 power mobility device (PMD) when appropriate, say the feds in a recent "clarification" from the Centers for Medicare & Medicaid Services (CMS).A Fact Sheet issued by CMS on Sept. 20 clarifies the point, saying that many have "misinterpreted" a local coverage determination (LCD) that was set to go into effect Oct. 1. The LCD was widely held to mean that Medicare would deny many claims for Group 2 (general use) power wheelchairs."Unless they require special seating, people needing a power wheelchair...

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