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Medicare Information Resource

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Medicare Information Resource Part B
MIR-2006-8AB, August 2006

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

New Temporary Codes for Adjustable Wheelchair Cushions

Provider Types Affected
Durable medical equipment (DME) suppliers and providers who order wheelchair services for Medicare beneficiaries

Provider Action Needed

Impact to You
Medicare may not reimburse you correctly for ordering or supplying wheelchair cushions for your Medicare patients if you do not use the correct codes on your claim.

What You Need to Know
The Centers for Medicare & Medicaid Services (CMS) has established four new “K” codes for adjustable wheelchair cushions, effective July 1, 2006.

What You Need to Do
Make sure that your billing staffs are aware of these new “K” codes for wheelchair cushions.

Background
CMS has established four new “K” codes for adjustable wheelchair cushions, effective for services provided on or after July 1, 2006. These new codes are displayed in the following table:

“K” Codes for Adjustable Wheelchair Cushions, Effective July 1, 2006

Code Description

K0734

Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth

K0735

Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth

K0736

Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth

K0737

Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth

Additional Information
You can find more information about the four new “K” codes for adjustable wheelchair cushions at http://www.cms.hhs.gov/Transmittals/downloads/R835CP.pdf External pdf file   on the CMS Web site.

If you have any questions concerning these codes, you may contact your Medicare DME regional carrier or fiscal intermediary (FI) at their toll-free number, which you can find 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.

MLN Matters Number: MM4267
Pub. 100-4, Transmittal# R835CP, CR# 4267
Related CR Release Date: February 3, 2006
Effective Date: July 1, 2006
Implementation Date: July 3, 2006

 

   
 
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