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Medicare Information Resource Part A
MIR-2006-7AB, July 2006

MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)

New Temporary “K” Code for Power Mobility Device (PMD) Batteries
 
Provider Types Affected
Suppliers and providers billing Medicare durable medical equipment regional carriers (DMERCs) and/or fiscal intermediaries (FIs) for services related to power mobility devices.

Provider Action Needed

This article is based on Change Request (CR) 4253, which establishes a new temporary “K” code for PMD batteries.

Background
Effective July 1, 2006, a new “K” code will be established for a 12- to 24-hour battery for power mobility devices. Effective July 1, 2006, the following K code will be added to the system:

K Code

Descriptor

K0733

Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorded glassmat)


Note: K codes describe temporary durable medical equipment (DME) and drug codes. Once these codes are approved for permanent inclusion into the Healthcare Common Procedure Coding System (HCPCS), they usually become “A,” “E,” or “J” codes:

  • “A” codes - ambulance and transportation services; medical and surgical supplies; and administrative, miscellaneous and investigational services/supplies;
  • “E” codes - DME such as walkers, hospital beds, infusion supplies, etc.; and
  • “J” codes - injectable drugs that can be injected subcutaneously, intramuscularly or intravenously with the dosage injected indicated.

The pricing category for K code K0733 is “32” (inexpensive or routinely purchased items), and the type of service (TOS) includes “A” (Used DME), “P” (Lump Sum Purchase of DME, Prosthetics, Orthotics), and “R” (Rental of DME). In addition, the place of service (POS) for K code K0733 is listed in the following table:

Place of Service

Descriptor

04

Homeless Shelter

12

Patient’s Home

13

Assisted Living Facility

14

Group Home

33

Custodial Care Facility

54

Intermediate Care Facility/Mentally Retarded

55

Residential Substance Abuse Treatment Center

56

Psychiatric Residential Treatment Center

Implementation
The implementation date for the instruction is July 3, 2006.

Additional Information
For complete details, please see the official instruction issued to your DMERC/intermediary regarding this change. That instruction may be viewed at http://www.cms.hhs.gov/Transmittals/downloads/R823CP.pdf External pdf file   on the CMS Web site.

If you have any questions, please contact your DMERC/intermediary at their toll-free number, which may be found at http://www.cms.hhs.gov/MLNProducts/downloads/CallCenterTollNumDirectory.pdf External pdf file   on the CMS Web site.

Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.

Do you have your NPI? National Provider Identifiers (NPIs) will be required on claims sent on or after May 23, 2007. Every health care provider needs to get an NPI. Learn more about the NPI and how to apply for an NPI by visiting http://www.cms.hhs.gov/NationalProvIdentStand/ External link  on the CMS Web site.

MLN Matters Number: MM4253
Related Change Request (CR) #: 4253
Related CR Release Date: February 1, 2006
Effective Date: July 1, 2006
Related CR Transmittal #: R823CP
Implementation Date: July 3, 2006

 

   
 
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