Are Geri Chairs Covered by Medicare? To answer the question: are Geri chairs covered by Medicare? It's necessary to note that you must qualify for coverage. The lift mechanism of the chair (which is motorized) is a Medicare covered item.
Z74.0ICD-10-CM Code for Reduced mobility Z74. 0.
Z99. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z99.
3: Dependence on wheelchair.
ICD-10 code R26 for Abnormalities of gait and mobility is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Z72. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z72.
Qualifying Diagnosis for Standard Wheelchairs Arthritis. Obesity. Diabetes. Fibromyalgia.
Overview of Code 97542 Code 97542 is used to report management of a patient using a wheelchair including assessment (eg, pos- tural/positioning needs), fitting (eg, pressure relief), and training (eg, getting in and out of the wheelchair safely and managing wheelchair propulsion on various terrains).
Simply bill the patient, or their payor, for the appropriate number of 97542 units, based on the amount of time spent helping your patient find the wheelchair that's right for them.
Do not say: “Wheelchair bound” or describe someone as “confined to a wheelchair”. Instead say: “Wheelchair user or “person who uses a wheelchair”. Remember that a wheelchair represents freedom to its user.
(ˈwiːltʃɛəbaʊnd ) adjective. unable to walk through injury, illness, etc and relying on a wheelchair to move around.
Group 3 power wheelchairs are reserved for the severely impaired patient afflicted with diseases such as: Amyotrophic Lateral Sclerosis (ALS), spinal cord injuries resulting in quadriplegia, stroke (CVA) with hemiplegia, late stage Parkinson's, late stage Multiple Sclerosis (MS), cerebral palsy or Muscular Dystrophy.
K0008Claims for HCPCS codes K0008 (custom manual wheelchair/base) and K0013 (custom motorized, power wheelchair base) must be billed with modifiers NU or RB.
K0001 - HCPCS Code for Standard wheelchair.
For vehicle modifications, including hand-controls or a wheelchair ramp conversion, use T2039. T2039 is a valid 2020 HCPCS code for Vehicle modifications, waiver; per service or just “Vehicle mod waiver/service” for short, used in Other medical items or services.
K0003 - HCPCS Code for Lightweight wheelchair.
Therapeutic chairs are specialized seating systems that are adapted to accommodate persons with a physical handicaps. Therapeutic chairs may be necessary to allow persons with disabilities to perform transfers or other essential daily activities, or to facilitate their optimal positioning.
The Versa form chair is a customizable, semi-permanent positioning support that is molded to the shape of the body. Density and firmness are controlled by applying vacuum to the chair. Aetna's traditional plans consider Versa form chairs medically necessary DME for children with postural instability who, because of a physical deformity, need a chair with postural support that conforms to the shape of their body. Note :
Total hip chairs and other therapeutic chairs with elevated seats enable members to sit without having to lower their body to the normal level of a regular chair. Aetna traditional plans consider these chairs medically necessary DME for members with any of the following conditions:
Children can be properly seated in th igh depth, back height, and foot support. Aetna's traditional plans consider adjustable high chairs medically necessary DME for children who, because of a physical handicap, deformity, or weakness, are unable to use a standard high chair and need an adjustable high chair. Note :
Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.
This NCD has been or is currently being reviewed under the National Coverage Determination process. The following are existing associations with NCAs, from the National Coverage Analyses database.