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April 14, 2016

Manual Wheelchair Bases - Correct Coding - Revised

DME MAC Joint Publication

This is a revision to a previous version published February 13, 2014

Recently, manual wheelchair coding applications describing products that are not complete, functional manual wheelchairs have been received by the Pricing, Data Analysis and Coding (PDAC) contractor.

For Medicare coding purposes, all manual wheelchair base codes describe a complete product. A complete manual wheelchair base includes:

The bundling table contained in the Wheelchair Options and Accessories LCDExternal Website related Policy ArticleExternal Website CODING GUIDELINES section describes the items included as part of the following bases:

PDAC coding applications for manual wheelchairs that describe incomplete products will receive a "No HCPCS Code Assigned" determination. If the manual wheelchair base is incomplete, any accessories associated with the application will not be processed.

For questions about correct coding, contact the PDAC contractor Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact FormExternal Website.

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