Manual Wheelchairs

Coverage

Documentation

Reviews/Audits

  • Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review

Reminders

Review Type Description
ADMC
  • Manual wheelchairs described by HCPCS E1161, E1231 - E1234, K0005, K0008, and K0009 are eligible for ADMC
Criteria C
  • For manual wheelchairs, a home assessment may be provided directly, by visiting beneficiary's home, or indirectly, based upon information provided by beneficiary or his/her designee. When a home assessment is based upon indirectly obtained information, supplier must, at time of delivery, verify that item delivered meets requirements specified in criterion C. Issues such as physical layout of home, surfaces to be traversed and obstacles must be addressed by and documented in home assessment

 

Last Updated Mar 16, 2018

The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.