Wheelchair Mobility Assessment ICD-10-PCS F01ZFZZ is a specific/billable code that can be used to indicate a procedure.
Z99.3ICD-10 code: Z99. 3 Dependence on wheelchair | gesund.bund.de.
R29.3ICD-10-CM Code for Abnormal posture R29. 3.
Z74.0ICD-10 code Z74. 0 for Reduced mobility is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Cerebral Palsy. Muscular Dystrophy. CVA (AKA stroke-related paralysis)
adjective. unable to walk through injury, illness, etc and relying on a wheelchair to move around.
Abnormal gait or a walking abnormality is when a person is unable to walk in the usual way. This may be due to injuries, underlying conditions, or problems with the legs and feet. Walking may seems to be an uncomplicated activity.
ICD-10 code R26. 81 for Unsteadiness on feet is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Postural dysfunction or “Poor” posture is defined as when our spine is positioned in unnatural positions, in which the curves are emphasised and this results in the joints, muscles and vertebrae being in stressful positions. This prolonged poor positioning results in a build up of pressure on these tissues.
Z74. 09 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 Z74.
Limited mandibular range of motion The 2022 edition of ICD-10-CM M26. 52 became effective on October 1, 2021. This is the American ICD-10-CM version of M26.
ICD-10-CM Code for Difficulty in walking, not elsewhere classified R26. 2.
The 2022 edition of ICD-10-CM Z99.3 became effective on October 1, 2021.
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES: 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 presence of an ICD-10 code listed in this section is not sufficient by itself to assure coverage. Refer to the LCD section on " Coverage Indications, Limitations, and/or Medical Necessity " for other coverage criteria and payment information.
For the specific HCPCS codes indicated above, all ICD-10 codes that are not specified in the preceding section.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
E2603 E2604 Qualifying Permobil Products The presence of an ICD-10 code listed in this section is not sufficient by itself to assure coverage. Refer to the section on Coverage Indications, Limitation and/or Medical Necessity for other coverage criteria.
A general use seat cushion (E2601-E2602) and a general use wheelchair back cushion (E2611-E2612) is covered for a beneficiary who has a manual wheelchair or a power wheelchair with a sling/solid seat/back which meets Medicare coverage criteria. If the beneficiary does not have a covered wheelchair, then the cushion will be denied as not reasonable and necessary. If the beneficiary has a POV or a power wheelchair with a captain’s chair seat, the cushion will be denied as not reasonable and necessary. For beneficiaries who meet coverage criteria for a power wheelchair and who do not have special skin protection or positioning needs, a power wheelchair with Captain’s Chair provides appropriate support. Therefore, if a general use cushion is provided with a power wheelchair with a sling/solid seat/back instead of Captain’s Chair, the wheelchair and the cushion(s) will be covered if EITHER criterion 1 or criterion 2 is met: 1. The cushion is provided with a covered power wheelchair base that is not available in a Captain’s Chair model – i.e., codes K0839, K0840, K0843, K0860 – K0864, K0870, K0871, K0879, K0880, K0886, K0890, K0891; or 2. A skin protection and/or positioning seat or back cushion that meets coverage criteria is provided. If one of these criteria is not met, both the power wheelchair with a sling/solid seat and the general use cushion will be denied as not reasonable and necessary. If the beneficiary has a POV or a power wheelchair with a captain’s chair seat, a separate seat and/or back cushion will be denied as not reasonable and necessary.
A combination skin protection and positioning seat cushion (E2607, E2608, E2624, E2625) is covered for a beneficiary who meets the criteria for BOTH a skin protection seat cushion AND a positioning seat cushion. If a skin protection seat cushion, positioning seat cushion, or combination skin protection and positioning seat cushion is provided and if the stated coverage criteria are not met, it will be denied as not reasonable and necessary. If a positioning back cushion is provided for a beneficiary who does not meet the stated coverage criteria, it will be denied as not reasonable and necessary. For HCPCS codes E2607, E2608, E2624 & E2625, use one of the following (either a or b): (a) one diagnosis code from section A or (b) one diagnosis code from section B and one diagnosis from section C (total of 2 diagnosis codes).
General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware.
A skin protection seat cushion (E2603, E2604, E2622, E2623) is covered for a beneficiary who meets the following criteria: 1. The beneficiary has a manual wheelchair or a power wheelchair with a sling/solid seat/back and the beneficiary meets Medicare coverage criteria for it; AND 2. The beneficiary has EITHER of the following: a. Current pressure ulcer or past history of a pressure ulcer (see diagnosis codes that support medical necessity section below) on the area of contact with the seating surface; OR b. Absent or impaired sensation in the area of contact with the seating surface or inability to carry out a functional weight shift due to one of the following diagnoses: spinal cord injury resulting in quadriplegia or paraplegia, other spinal cord disease, multiple sclerosis, other demyelinating disease, cerebral palsy, anterior horn cell diseases including amyotrophic lateral sclerosis, post polio paralysis, traumatic brain injury resulting in quadriplegia, spina bifida, childhood cerebral degeneration, Alzheimer’s disease, Parkinson’s disease, muscular dystrophy, hemiplegia, Huntington’s chorea, idiopathic torsion dystonia, athetoid cerebral palsy, arthrogryposis, osteogenesis imperfecta, spinocerebellar disease or transverse myelitis (see diagnosis codes that support medical necessity section on the next page).