This is an older CMS notice having to do with the tightening of the approval process on Power Mobility Devices. Further limitations and restrictions have been placed on PMD’s.
- Implementation of New HCPCS Codes and Fee Schedule Amounts for Power Mobility Devices (PMDs)
- A recurring update notification regarding the October quarterly update for the 2006 Durable Medical Equipment Prosthetic, Orthotics, and Supplies (DMEPOS) fee schedule was issued on August 25, 2006 (Transmittal 1037, Change Request 5255). This transmittal included instructions for implementation on October 1, 2006, of HCPCS codes K0800 thru K0812 for power operated vehicles and K0813 thru K0899 for power wheelchairs and corresponding fee schedule amounts if applicable. The effective date for implementation of these codes and fee schedule amounts is being changed to November 15, 2006, to allow additional time for suppliers to prepare for these changes. Therefore, the instructions below replace those instructions listed in the policy section and business requirements of Transmittal 1037.
- The following codes are being added to the HCPCS on November 15, 2006, and are effective for claims with dates of service on or after November 15, 2006:
- POWER OPERATED VEHICLES K0800 K0801 K0802 K0806 K0807 K0808 K0812
- POWER WHEELCHAIRS K0813 K0841 K0870 K0814 K0842 K0871 K0815 K0843 K0877 K0816 K0848 K0878 K0820 K0849 K0879 K0821 K0850 K0880 K0822 K0851 K0884 K0823 K0852 K0885 K0824 K0853 K0886 K0825 K0854 K0890 K0826 K0855 K0891 K0827 K0856 K0898 K0828 K0857 K0899 K0829 K0858 K0830 K0859 K0831 K0860 K0835 K0861 K0836 K0862 K0837 K0863 K0838 K0864 K0839 K0868 K0840 K0869
- The Centers for Medicare & Medicaid Services (CMS) is in the process of calculating fee schedule amounts for the above codes, where applicable, and these fee schedule amounts will be released in the near future.
- Suppliers should use the above HCPCS codes for all new PMD claims with dates of service on or after November, 15, 2006. For power operated vehicles furnished on a rental basis with dates of service prior to November 15, 2006, suppliers should continue to use code E1230. For power wheelchairs furnished on a rental basis prior to November 15, 2006, suppliers should continue to use codes K0010 thru K0014, as appropriate.
- Suppliers should begin submitting HCPCS codes K0800 through K0802, K0806 through K0808, K0812 through K0816, K0820 through K0831, K0835 through K0843, K0848 through K0864, K0868 through K0871, K0877 through K0880, K0884 through K0886, K0890, K0891, K0898 and K0899, as appropriate, for all Power Mobility Device claims with dates of service on or after November 15, 2006.
- Power mobility device claims with dates of service prior to November 15, 2006, shall use HCPCS codes E1230, K0010, K0011, K0012, and K0014 as appropriate.
Copyright 2006, Palmetto GBA. All Rights Reserved.