Correct Coding - WHILL Powered PMDs - JA DME
RETIRED - Correct Coding - WHILL Powered Personal Mobility Devices
IMPORTANT: THIS DOCUMENT CONTAINS OUTDATED INFORMATION.
Content Provided on this page contains outdated information and instruction and should not be considered current. Noridian is providing this archived information for research purposes only. This archived article contains previously issued instructions that have since been updated or are no longer applicable for Medicare billing purposes.
DME MAC Joint Publication
Revised July 21, 2016
Posted May 14, 2015
This is a revision to the article, "Correct Coding - WHILL Model A Powered Personal Mobility Device" published in May, 2015. The article is retitled as above and revised to include the WHILL Model M.
WHILL, Inc., (San Carlos, CA), is the manufacturer of WHILL powered personal mobility devices. They currently have two products, Model A and Model M.
WHILL Model A
The WHILL Model A has not been cleared by the FDA and is not considered to be a medical device. Consequently, this item is non-covered (no Medicare benefit). For Medicare billing purposes, claims for the WHILL Model A must be submitted using HCPCS code:
- A9270 - NONCOVERED ITEM OR SERVICE
This code is considered as all-inclusive for this product. None of the existing HCPCS codes for wheelchair bases, options, accessories, seating, etc. are appropriate for use with this product. Claims for this item using existing wheelchair related codes will be denied as incorrect coding.
WHILL Model M
The WHILL Model M received a 510(k) FDA clearance for marketing as a Class II Powered Wheelchair on February 12, 2016. A HCPCS code request for this product has not been submitted to the Pricing, Data Analysis and Coding (PDAC) Contractor. For Medicare billing purposes, claims for this device must be submitted using HCPCS code:
- K0899 - POWER MOBILITY DEVICE, NOT CODED BY DME PDAC OR DOES NOT MEET CRITERIA
This code is considered as all-inclusive for this product. None of the existing HCPCS codes for wheelchair bases, options, accessories, seating, etc. are appropriate for use with this product. Claims for this item using existing wheelchair related codes will be denied as incorrect coding.
General Information
DMEPOS Suppliers are reminded that there is no Medicare reimbursement available for repairs or replacement of non-covered items.
Refer to the Power Mobility Devices, Wheelchair Options and Accessories and Wheelchair Seating LCDs and related Policy Articles for additional information on coverage, coding and documentation requirements.
For questions about correct coding, contact the Pricing, Data Analysis and Coding (PDAC) Contractor Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.
