ICD-10: | R26.2 |
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Short Description: | Difficulty in walking, not elsewhere classified |
Long Description: | Difficulty in walking, not elsewhere classified |
Oct 01, 2021 · Difficulty in walking, not elsewhere classified. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. R26.2 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 R26.2 became effective on October 1, 2021.
Oct 01, 2021 · Z99.8 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM Z99.8 became effective on October 1, 2021. This is the American ICD-10-CM version of Z99.8 - other international versions of ICD-10 Z99.8 may differ.
Oct 01, 2015 · For the items addressed in this LCD, the “reasonable and necessary” criteria, based on Social Security Act § 1862 (a) (1) (A) provisions, are defined by the following coverage indications, limitations and/or medical necessity. A standard walker (E0130, E0135, E0141, E0143) and related accessories are covered if all of the following ...
Oct 01, 2021 · V00.181A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Fall from oth rolling-type pedestrian conveyance, init; The 2022 edition of ICD-10-CM V00.181A became effective on October 1, 2021.
ICD-10: | Z99.89 |
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Short Description: | Dependence on other enabling machines and devices |
Long Description: | Dependence on other enabling machines and devices |
ICD-10: | Y30.XXXA |
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Short Description: | Fall, jump or pushed from a high place, undet intent, init |
Long Description: | Falling, jumping or pushed from a high place, undetermined intent, initial encounter |
ICD-10: | W19.XXXA |
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Short Description: | Unspecified fall, initial encounter |
Long Description: | Unspecified fall, initial encounter |
ICD-10: | W06.XXXA |
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Short Description: | Fall from bed, initial encounter |
Long Description: | Fall from bed, initial encounter |
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
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. The purpose of a Local Coverage Determination (LCD) is to provide information regarding “reasonable and necessary” criteria based on Social Security Act § 1862 (a) (1) (A) provisions. In addition to the “reasonable and necessary” criteria contained in this LCD there are other payment rules, which are discussed in the following documents, that must also be met prior to Medicare reimbursement:.
Z99.89 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
Valid for Submission. Z99.89 is a billable diagnosis code used to specify a medical diagnosis of dependence on other enabling machines and devices. The code Z99.89 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
A heavy-duty, multiple braking system, variable wheel resistance walker is considered medically necessary DME for members who meet medical necessity criteria for a standard walker and who are unable to use a standard walker due to a severe neurological disorder or other condition causing the restricted use of one hand. Obesity, by itself, is not considered a medically necessary indication for this walker.
A heavy-duty walker is considered medically necessary DME for members who meet medical necessity criteria for a standard walker and who weigh more than 300 pounds. A heavy-duty walker may include wheels and glide-type brakes. A wheeled walker is one with 2, 3, or 4 wheels. The wheels may be fixed or swivel.
The Mulholland Walkabout is a walker with 4 wheels and attached back brace. Aetna considers the Mulholland Walkabout medically necessary DME for children who have impaired ambulation and who lack trunk stability and balance.
A heavy-duty, multiple braking system, variable wheel resistance walker is considered medically necessary D ME for members who meet medical necessity criteria for a standard walker and who are unable to use a standard walker due to a severe neurological disorder or other condition causing the restricted use of one hand.
Consistent with Medicare policy, Aetna does not cover walkers with enclosed frames because their medical necessity compared to a standard folding wheeled walker has not been established. A walker with enclosed frame is a folding wheeled walker that has a frame that completely surrounds the member and an attached seat in the back.
A walker with trunk support is considered medically necessary for members who meet medical necessity criteria for a standard walker and who have documentation in the medical record justifying the medical necessity for the special features.
The Autoambulator is a therapeutic robotic machine developed to rehabilitate individuals recovering from conditions affecting walking such as stroke, spinal cord injury, and hip or knee replacement surgery . The AutoAmbulator features an overhead harness system to fully support the patient, mechanically powered braces to move the patient's legs, and numerous computerized sensors to track vital signs, movement, and contact speed, adjusting speed accordingly. Researchers are evaluating the AutoAmbulator's ability to increase blood flow in patients' legs, decrease muscle spasms, and improve respiration and circulatory function.