K0856 - Group 3 Single Power Option and K0861 - Group 3 Multiple Power Option Power Wheelchairs

For dates of service March 20, 2017 and after, CMS has implemented a Prior Authorization Request (PAR) process for the designated K0856 Group 3 Single Power Option and K0861 Group 3 Multiple Power Option Power Wheelchairs for Medicare beneficiaries residing in four high population states including Missouri, New York, Illinois and West Virginia.

Noridian processes PARs for beneficiaries residing in the following states:

  • Jurisdiction A: New York
  • Jurisdiction D: Missouri

PMD Coverage Resources

Policy Number Title
NCD 280.3 National Coverage Determination (NCD) for Mobility Assistive Equipment
L23598 and A41127 [PDF] Power Mobility Devices Local Coverage Determination (LCD) and Policy Article

 

Resources

 

Last Updated Dec 09 , 2023