Article Detail - JD DME
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.
|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|
|CHAMPIOT ARMPOWER||FEREZ INDUSTRIES, INC.||A9300|
|CREWS-ING CHAIR||CREWS-ING CHAIR CO.||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|
|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|
|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