Implementation of New Healthcare Common Procedure Coding System (HCPCS) Codes and Fee Schedule Amounts for Power Mobility Devices (PMDs) A recurring update notification regarding the October quarterly update for the 2006 Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule was issued on August 25, 2006 (Transmittal 1037, Change Request 5255). This transmittal included instructions for implementation on October 1, 2006, of HCPCS codes K0800 thru K0812 for power operated vehicles and K0813 thru K0899 for power wheelchairs and corresponding fee schedule amounts if applicable. The effective date for implementation of these codes and fee schedule amounts is being changed to November 15, 2006, to allow additional time for suppliers to prepare for these changes. Therefore, the instructions below replace those instructions listed in the policy section and business requirements of transmittal 1037. The following are being added to the HCPCS codes on November 15, 2006, and are effective for claims with dates of service on or after November 15, 2006: Power Operated Vehicles
Power Wheelchairs
The Centers for Medicare & Medicaid Services (CMS) is in the process of calculating fee schedule amounts for the above codes, where applicable, and these fee schedule amounts will be transmitted to contractors in addendum DMEPOS fee schedule files in the near future. Suppliers should use the above HCPCS codes for all new PMD claims with dates of service on or after November, 15, 2006. For power operated vehicles furnished on a rental basis with dates of service prior to November 15, 2006, suppliers should continue to use code E1230. For power wheelchairs furnished on a rental basis prior to November 15, 2006, suppliers should continue to use codes K0010 thru K0014, as appropriate. Suppliers should begin submitting HCPCS codes K0800 through K0802, K0806 through K0808, K0812 through K0816, K0820 through K0831, K0835 through K0843, K0848 through K0864, K0868 through K0871, K0877 through K0880, K0884 through K0886, K0890, K0891, K0898, and K0899, as appropriate, for all Power Mobility Device claims with dates of service on or after November 15, 2006. Power mobility device claims with dates of service prior to November 15, 2006, shall use 1230, K0010, K0011, K0012, and K0014 as appropriate. CMS Joint Signature Memorandum (JSM)-06688 (09/20/06) |
