Power Mobility Devices (PMDs) - JA DME
Power Mobility Devices (PMDs)
The Standard Written Order (SWO) requirements are in affect for dates of service January 1, 2020 and after.
Refer to the SWO page for the elements needed in this streamlined order.
Coverage
- Mobility Assistive Equipment (MAE) (280.3) National Coverage Determination (NCD)
- Power Mobility Devices (PMD) Local Coverage Determination (LCD) and Policy Article [PDF]
- Wheelchair Options/Accessories LCD and Policy Article [PDF]
- Wheelchair Seating LCD and Policy Article [PDF]
Documentation
- Clinician Letter - Power Wheelchairs and Power Operated Vehicles [PDF] - Letter may be sent to clinicians to assist in obtaining documentation
- Group 1 / Group 2, No Power Options Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation for HCPCS K0813 - K0816 and K0820 - K0829
- Group 2 Single / Multiple Power Options Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation for HCPCS K0835 - K0840 and K0841 - K0843
- Group 3 Single / Multiple Power Options Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation for HCPCS K0856 - K0860 and K0861 - K0864
- Group 3 No Power Options Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation for HCPCS K0848 - K0855
- POV Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation for HCPCS K0800 - K0808, K0812 and E0986
- Push-Rim Activated Power Assist Device Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation for HCPCS K0800 - K0808, K0812 and E0986
Reviews/Audits
- Medical Review Results - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review
- Pre-Claim Review - View Advance Determination of Medicare Coverage (ADMC), Power Mobility Device (PMD) Prior Authorization Demonstration, and Required Prior Authorization Programs information
Tips
Topic | Details |
---|---|
Billing Reminder for Mounting Hardware - HCPCS E1028 |
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Discontinued Use |
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Group 3 Power Wheelchair Requirements |
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Home Assessment |
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Hospital, Skilled Nursing Facility |
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Power Wheelchair Electronics Clarification |
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Repair of Rented Items |
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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 |
Supplier Assistive Technology Professional Involvement |
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Last Updated Thu, 04 Jun 2020 15:27:42 +0000
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.