Power Mobility Device (PMD) Prior Authorization

On September 1, 2012, CMS implemented a PAR process for designated PMDs for Medicare beneficiaries residing in seven high population states including California, Illinois, Michigan, New York, North Carolina, Florida, and Texas.

On October 1, 2014, the PAR demonstration expanded to an additional twelve states including Washington, Missouri, Arizona, Pennsylvania, Maryland, New Jersey, Indiana, Louisiana, Tennessee, Georgia, Ohio and Kentucky.

On September 1, 2015, the PAR demonstration was extended for an additional three years and will end August 31, 2018. See Prior Authorization of PMD Demonstration on the CMS website for more information.

Noridian processes PARs for beneficiaries residing in Arizona, California, Missouri and Washington.

Top Reasons for PMD PAR Demonstration Non-Affirmations

PMD Coverage Resources

Policy Number Title
NCD 280.3 National Coverage Determination (NCD) for Mobility Assistive Equipment
L33789 and A52498 [PDF] Power Mobility Devices Local Coverage Determination (LCD) and Policy Article


The prior authorization process under this demonstration is available for the below HCPCS for Medicare payment.

Description HCPCS
Group 1 Power Operated Vehicles K0800, K0801, K0802, K0812
All Group 2 complex rehabilitative power wheelchairs K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843
Pediatric power wheelchairs K0890, K0891
All standard power wheelchairs K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829
All Group 3 complex rehabilitative power wheelchairs without power options K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855
Miscellaneous power wheelchairs K0898



Last Updated May 31, 2018