icd-10 code for lift chair

Commode chair with integrated seat lift mechanism, electric, any type. E0171. Commode chair with integrated seat lift mechanism, non-electric, any type. E0172. Seat lift mechanism placed over or on top of toilet, any type. E0627. Seat lift mechanism, electric, any type. E0629. Seat lift mechanism, non-electric, any type . ICD-10 Diagnosis . All diagnoses

Full Answer

What is the CPT code for patient lift?

A patient lift described by codes E0630, E0635, E0639, or E0640 is covered if the basic coverage criteria are met. If the coverage criteria are not met, the lift will be denied as not reasonable and necessary. A multi-positional patient transfer system (E0636, E1035, E1036) is covered if both of the following criteria 1 and 2 are met:

What are the ICD 10 codes for a manual wheelchair?

Manual Wheelchair ICD-10 Codes 1 Difficulty Walking (R29.9). 2 Muscle Weakness (M62.81). 3 Repeated Falls (R29.6). 4 History of falls (Z91.81). 5 Edema (R60.9). 6 Hypertensive heart disease without heart failure (I11.9). More ...

What are the ICD 10 codes for seat cushions?

ICD-10 Seating Diagnosis List. Version 10.17. Group 1 Codes: SEAT CUSHIONS. ICD-10 Codes that Support Medical Necessity Group 1 Paragraph: For skin protection items (HCPCS codes E2603, E2604, E2622, E2623) one diagnosis code from either Group 1 or Group 2.

What are the requirements for a seat lift mechanism?

The seat lift mechanism must be prescribed to effect improvement, or arrest or retard deterioration in the member's condition; and Once standing, the member must have the ability to ambulate.

What diagnosis will cover a lift chair?

For reference, here are some of the medical requirements for Medicare to help pay for your lift chair: You have severe arthritis of the hip or knee, or a severe neuromuscular disease. You can't stand up on your own from a regular chair. Without the chair, you'd be confined to another chair or bed.

What is the CPT code for a lift chair?

A manually operated seat lift mechanism is billed using HCPCS code E0629. When providing a seat lift mechanism that is incorporated into a chair as a complete unit at the time of purchase, suppliers must bill the item using the established HCPCS code for the seat-lift mechanism.

Is a lift chair a medical device?

In the United States, lift chairs qualify as Durable Medical Equipment under Medicare Part B.

What is a seat lift mechanism?

Seat lift mechanisms are a type of assistive device used to lift the body from a sitting position to a standing position. The mechanism is also capable of lowering the patient from a standing to a sitting position. Seat lifts are generally recommended only for patients who are able to ambulate once they are standing.

What is CPT code E0621?

HCPCS Code Details - E0621HCPCS Level II Code Durable Medical Equipment (DME) SearchHCPCS CodeE0621DescriptionLong description: Sling or seat, patient lift, canvas or nylon Short description: Patient lift sling or seatHCPCS Modifier19 more rows•Jan 1, 1986

What is E0627?

E0627 is a valid 2022 HCPCS code for Seat lift mechanism, electric, any type or just “Seat lift mech, electric any” for short, used in Used durable medical equipment (DME).

What is a power lift chair?

Simply put, a power lift recliner is a power recliner that is designed to help lift you from a seated position to a standing position effortlessly while still providing comfort and support. Lift chairs have a secondary motor intended to transition a chair from the seated position into a raised position.

Will Medicare pay for a wheelchair and a lift chair?

Key Takeaways. Medicare Part B covers lift chairs under the durable medical equipment (DME) coverage. Your doctor must prescribe this equipment as a medical necessity.

How do I get reimbursed from Medicare for a lift chair?

Lift chairs are usually prescribed to assist patients with severe arthritis, muscular dystrophy or other neuromuscular diseases. Your doctor must fill out a certificate of medical necessity for a seat lift mechanism, CMS-849, for you to qualify for Medicare reimbursement.

Does Medicare cover E0635?

Medicare covers a patient lift described by codes E0630, E0635, E0639, or E0640 if the basic coverage criteria are met: o Medicare covers a patient lift if transfer requires between a bed and a chair, wheelchair, or commode and, the beneficiary would be confined to a bed without the use of a lift.

What are some examples of medically necessary lifts?

Examples of brands of medically necessary patient lifts are the Hoyer Lift, the Lift-Aid Chamber Lift and the Trans-Aid Lift. Notes: Aetna's HMO plans follow Medicare's rules for lift mechanisms, and consider bathroom or toilet patient lifts non-covered convenience items as Medicare considers bathroom and toilet equipment to be convenience items.

What is a DME in Aetna?

Aetna considers seat lift mechanisms medically necessary durable medical equipment (DME) when all of the following criteria are met: The member must be incapable of standing up from a regular armchair at home; and. The member must have severe arthritis of the hip or knee, or have severe neuromuscular disease; and.

What is a patient lift?

A patient lift for a toilet/tub, any type describes a device with which the member can be transferred from the toilet/tub to another seat (e.g., wheelchair). It is used for a member who is unable to ambulate. Devices may be attached to the toilet, ceiling, floor, or wall of the bathroom or may be freestanding.

Is seat lift experimental or investigational?

Once standing, the member must have the ability to ambulate. Aetna considers seat lift mechanisms experimental and investigational for all other indications because of insufficient evidence in the peer-reviewed literature. Medically necessary seat-lift mechanisms are those types that operate smoothly, can be controlled by the member, ...

Does Aetna cover lifts?

Aetna does not cover the following types of lifts because they are considered home modifications: Ceiling lifts (patient lifts mounted on tracks that are attached to the ceiling) Platform lifts, stair lifts/stairway chairs, elevators, and stairway elevators (e.g., Stair Glide chair). Aetna does not cover an electric powered recliner ...

Does Aetna cover a hydraulic lift?

Aetna considers a canvas or nylon sling or seat for a hydraulic/mechanical lift medically necessary as an accessory when ordered as a replacement for the original equipment item. Note: A nylon or canvas sling or seat for a patient lift is included in the allowance for a patient lift when provided at the same time.

Is a lift or transport mechanism mechanical or electric?

The lift/transport mechanisms may be mechanical or electric. No separate payment is made for installation. All costs associated with installation are included in the payment for the device. When a device is only used in a bathroom, it is coded as patient lift, bathroom or toilet, not otherwise classified.

Document Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Coverage Guidance

For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, and 3) meet all other applicable Medicare statutory and regulatory requirements.

What is a ceiling lift?

Ceiling Lifts (E0640): Ceiling lifts are typically attached to tracks installed directly into the ceiling in the home allowing easier patient transfer. Most of these devices are motorized though some are manually operated. The tracks can be located in more than one room of the home, allowing some portability. Manufacturers propose that positioning is easier with ceiling lifts than with floor-mounted lifts, and, if motorized, the ceiling lifts can be used independently by the patient. Fixed motorized lifts, however, are considered a home modification and a convenience item. (Not covered according to contract).

What is a patient lift?

A patient lift is used to safely move a patient who is unable to move themselves from a bed to a chair or between other locations. Patient lifts are used in hospitals, nursing homes, and in home health care. Patient lifts come in different types. Some are operated by hydraulic power, others are electric, and yet others combine support with the patient’s own strength. They may be either a sling lift or a sit-to-stand lift. This guideline explains when these items are covered.

Does Premera Blue Cross discriminate?

Premera Blue Cross complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Premera does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.