Exercise Equipment - Correct Coding

Original Effective Date: 12/18/2008
Revision Effective Date: 11/01/2013

Exercise equipment is not considered to be Durable Medical Equipment. According to CMS Internet Only Manual 100-2, Ch. 15, §110.1,

"[p]hysical fitness equipment (such as an exercycle), first-aid or precautionary-type equipment (such as preset portable oxygen units), self-help devices (such as safety grab bars), and training equipment (such as Braille training texts) are considered nonmedical in nature." http://www.cms.hhs.gov/manuals/downloads/bp102c15.pdf.

The correct HCPCS Code for exercise items is A9300, Exercise Equipment. Other codes should not be used.

Refer to the Pricing, Data Analysis and Coding (PDAC) contractor for information about the correct coding of a specific product.

A product list is maintained in the DMECS database and may be accessed from the PDAC web site DMECS datatbase. The list is updated periodically. Products not listed under A9300 may still be considered exercise equipment, so this is only a partial listing.

PRODUCT MANUFACTUREER HCPCS CODE
ARTHO-AQUATIC FITNESS SYSTEM ARTHO-AQUATIC FITNESS SYSTEMS, INC. A9300
BACK PAC PRO SAND THERAPEUTIC, INC. A9300
BANTEX DELUXE PEDAL EXERCISER AMERICAN BANTEX CORP A9300
BIO-CUSHION Thomas A. TANGLOS A9300
CAMOPED OPED, INC. A9300
CHAMPIOT ARMPOWER FEREZ INDUSTRIES, INC. A9300
CREWS-ING CHAIR CREWS-ING CHAIR CO. A9300
DYNA-CHAIR ANTHROS MEDICAL A9300
E-Z STEPPER MIRACLE PRODUCTS, INC. A9300
EXERCYCLE EXERCISER EXERCYCLE CORPORATION A9300
EXODUS I GENESIS CHAIRS, INC. A9300
EXODUS II GENESIS CHAIRS, INC. A9300
FACIAL-FLEX ADULT FACIAL-FLEX CORPORATION A9300
FACIAL-FLEX PEDIATRIC FACIAL-FLEX CORPORATION A9300
FIT-BACK SPINE CARE SYSTEM FIT-BACK (NU-BACK, LLC) A9300
FLEXICISER FLEXICISER INTERNATIONAL A9300
FLEXXZOR MEDICAL DEVICES, INC. A9300
GENUBENDER INNOVATIVE INTUITION, INC. A9300
KNEE/ANKLE MOBILIER HAYES KAM SYSTEMS A9300
MACBLOCKER UNIQUE REHAB SOLUTIONS, INC. A9300
MASTERCARE BACK-A-TRACTION SWEDISH BACKCARE SYSTEM, INC. A9300
MAXM DORSI FLEXION HARNESS MEDREP, INC. A9300
MAXM KNEE EXTENSION HARNESS MEDREP, INC. A9300
MAXM PRONE FLEXION HARNESS MEDREP, INC. A9300
MAXM SEATED FLEXION HARNESS MEDREP, INC. A9300
MOTORIZED BICYCLE EXERCISE TRAINER OZMARK SYSTEMS MANUFACTURING, LLC A9300
PETTIBON LINKED EXERCISE TRAINER THE PETTIBON SYSTEM A9300
PHLEBO PUMP PREVENT PRODUCTS A9300
SOLOCISER A-BAR TECHNOLOGY INC. A9300
SOLOHAND BEARFOOT FOOT CRADLE A9300
SPI-RISE S.D.R., INC. A9300
THERA PEDAL ARM AND LEG CYCLE THERAPEUTIC DESIGNS, INC. A9300
UE RANGER REHAB INNOVATIONS, INC. A9300
WHEELCHAIR BIKE PLUS+ CHIEFS MANUFACTURING COMPANY A9300

 

Claims submitted with A9300 will be denied with messages "These services are not covered" to the supplier and "The equipment is not covered because its primary use is not a medical purpose" to the beneficiary.

            Last Updated Mon, 08 Jan 2018 13:03:53 +0000