Replacement Wheelchair Equipment When the Manufacturer Exits Wheelchair Business – Revised

Related CR Release Date: July 8, 2024
Effective Date: July 8, 2024
Implementation Date: August 5, 2024
Related Change Request (CR) Number: CR 13610
Related CR Transmittal Number: R12768OTN

Note: CMS revised the background section clarifying the replacement scenario discussed in this change request does not apply to situations when the wheelchair equipment does not yet need repairs that require replacement parts or when repair / replacement parts (e.g. aftermarket) are available from other sources other than the discontinued manufacturer that can be used to make the wheelchair equipment operable for the reasonable useful lifetime of the equipment.

CR 13610 provide instructions for processing claims for replacement power or manual wheelchairs when 1) the manufacturer exits the wheelchair business resulting in the wheelchair ceasing to exist on the market, and 2) there is no availability of aftermarket repair or replacement parts to make the manufacturer’s equipment operable.

Make sure your billing staff knows about these changes.

View the complete CMS Change Request (CR)13610.

Last Updated Aug 08 , 2024