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DME MACs clarify billing for power wheelchair electronic codes 

DME MACs clarify billing for power wheelchair electronic codes 

WASHINGTON – The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) address the confusion around billing certain power wheelchair electronic codes in a joint publication on Oct. 2. “This article provides instructions on the appropriate billing of power wheelchair electronics, such as actuators, controllers, harnesses and interfaces. The instructions apply specifically to: 

  • E2310 Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware 
  • E2311 Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware 
  • E2313 Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each 
  • E2376 Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only 
  • E2377 Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue 

In the joint publication, the DME MACs provide key descriptions/definitions for these devices and provide examples of proper use. 

“Suppliers need to read the entire code descriptions as many of the wheelchair accessory codes include all the necessary switches, mounting hardware, etc., and, therefore, such switches, mounting hardware, etc., are not separately payable,” they state. 

Go here to read the entire bulletin. 

In other coding news for power wheelchairs, NCART reports the DME MACs have removed all of the ICD-10 Dx codes from the wheelchair seating policy. Go here to read that bulletin. 

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