what is icd 10 code for walker with seat

Full Answer

What is the ICD 10 code for a walker?

HCPCS code E0149 for Walker, heavy duty, wheeled, rigid or folding, any type as maintained by CMS falls under Walking Aids and Attachments . Subscribe to Codify and get the code details in a flash. Match supply and drug codes in a snap.

What are the CPT codes for wheeled walker replacement?

PER PAIR BRAKE ATTACHMENT FOR WHEELED WALKER, REPLACEMENT, EACH Table: CPT Codes / HCPCS Codes / ICD-10 Codes Code Code Description Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": HCPCS codes covered if selection criteria are met: A4635

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 is the CPB code for wheelchair standers?

See CPB 0271 - Wheelchairs and Power Operated Vehicles (Scooters). Prone, Supine and Upright Standers for Children with Special Needs These floor/mobile standers for children (e.g., Rifton Supine, Prone or Dynamic; Squiggles) are considered medically necessary DME for children with cerebral palsy or other severe neuromuscular conditions.

Document Information

CPT codes, descriptions and other data only are copyright 2021 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. 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:.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

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.

Bill Type Codes

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.

Revenue Codes

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.

What is a wheeled walker?

A standard walker may include wheels and glide-type brakes. A wheeled walker is one with 2, 3, or 4 wheels.

What is a heavy duty 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.

Why is Aetna considered an autoambulator?

Aetna considers the Autoambulator experimental and investigational because the clinical evidence is not sufficient to permit conclusions on the health outcome effects of the Autoambulator. Background. This policy is based, in part, upon Medicare DME MAC Local Medical Policy.

Is a Mulholland Walkabout a DME?

Aetna considers pediatric crawlers medically necessary DME for disabled children. 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.

What is a DWO in Medicare?

For an item to be covered by Medicare, a detailed written order (DWO) must be received by the supplier before a claim is submitted. If the supplier bills for an item addressed in this policy without first receiving the completed DWO, the item will be denied as not reasonable and necessary.

What is E0147?

A heavy duty, multiple braking system, variable wheel resistance walker (E0147) is covered for beneficiaries who meet coverage criteria for a standard walker and who are unable to use a standard walker due to a severe neurologic disorder or other condition causing the restricted use of one hand.

Is an E0147 walker necessary?

Obesity, by itself, is not a sufficient reason for an E0147 walker. If an E0147 walker is provided and if the additional coverage criteria are not met, it will be denied as not reasonable and necessary. The medical necessity for a walker with an enclosed frame (E0144) has not been established.