Wheelchair Seating - JD DME
Educational Resources
- Beneficiary-Owned Equipment When Billing for Accessories and Supplies
- Billing Situations
- Break in Need or Service and Break in Billing
- Common Abbreviations to Use as Narratives
- Consolidated Billing/SNF/Home Health/Hospice Lookup
- Denial Code Resolution
- DME on Demand Tutorials
- MAE Flowchart
- Modifier Lookup Tool
- MUE Lookup Tool
- New Capped Rental Period
- Pre-Claim Hotline
- Same or Similar Chart
- Upgrades
- Wheelchair Cushion Lookup Tool
- Webinar on Demand Recordings
- Noridian Medicare Portal (NMP)
Wheelchair Seating
Coverage
Documentation
Tips
| Topic | Details |
|---|---|
| ADMC (Review Type) | Manual wheelchairs described by HCPCS E1161, E1231 - E1234, K0005, K0008, and K0009 are eligible for ADMC |
| Billing HCPCS Code K0108 - Wheelchair Component or Accessory, Not Otherwise Specified | Guidelines for appropriate billing of HCPCS Code K0108 |
| KU Modifier | The KU modifier is used for certain wheelchair accessories and seat back cushions used with complex rehabilitative manual wheelchairs and certain manual wheelchairs. The impacted accessories and wheelchair codes include K0005, E1161, E1231-E1238 and K0008. The use of this modifier started with claims submitted on July 6, 2020 for dates of service from January 1, 2020 through June 30, 2021 and per CMS Medicare Learning Network (MLN) Matters (MM) 12345 continues for dates of service July 1, 2021. |
| RT/LT Modifiers | Effective for claims with dates of service (DOS) on/after 3/1/2019, suppliers must bill each item on two separate claim lines using the RT and LT modifiers and 1 UOS on each claim line. Claim lines for HCPCS codes requiring use of the RT and LT modifiers, billed without the RT and/or LT modifiers or with the RTLT on a single claim line, will be rejected as incorrect coding. See Correct Coding - RT and LT Modifier Usage Change for more information |
Last Updated Dec 09 , 2023
Related Articles
The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
paginationType noridian
| Articles | Source | Posted |
|---|---|---|
| LCD and Policy Article Revisions Summary for November 9, 2023 | 11/09/2023 | |
| Policy Article Revisions Summary for September 21, 2023 | 09/21/2023 | |
| Policy Article Revisions Summary for September 22, 2022 | 09/22/2022 |
