RETIRED - K0009 Manual Wheelchair - Coding Verification Review Requirement - Update (PDAC Article)


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Article retired due to content incorporation into the applicable Local Coverage Determination or related Policy Article.

Posted March 08, 2013

It has been previously communicated that Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) products listed on the PDAC website with HCPCS code K0009 (OTHER MANUAL WHEELCHAIR/BASE) would be end dated March 31, 2013. CMS has requested an additional 30 days to complete its review of the issues involved in classifying these items under the HCPCS. The new effective end date for all products currently coded under K0009 is April 30, 2013. Manufacturers that submitted a coding verification application to the PDAC prior to December 3, 2012, will be notified on April 1, 2013 of the coding verification results.

Effective for claims with dates of service on or after May 1, 2013, the only products which may be billed to Medicare using code K0009 are those for which a written coding verification has been made by the PDAC contractor and that are listed in the Product Classification List in DMECS maintained on the PDAC website. Products which have not received coding verification review from the PDAC must be billed with code E1399.

The PDAC coding verification application required for these products is the Manual Wheelchairs application. This application is located on the PDAC website.

For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form located on the PDAC website.

Date Posted by PDAC: 02/28/13


Last Updated Dec 10 , 2023