Coding Ahead
CasePilot
Medical Coding Assistant
Case2Code
Search and Code Lookup Tool
CareerCenter
Medical Coding Job Board
Log in Register free account

Need help choosing the right code?

Ask CasePilot about procedures, modifiers, bundling, and coding guidance.

Try CasePilot

Official Description

Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac
Short Descr Seat/back cus no dmepdac ver
Coverage Carrier Priced
Pricing Indicator(s) 32 – Supplies And Surgical Dressings - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
BETOS D1D – Wheelchairs
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 7/1/2004
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 0
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
GA Waiver of liability statement issued as required by payer policy, individual case
NU New equipment
BP The beneficiary has been informed of the purchase and rental options and has elected to purchase the item
GY Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
GZ Item or service expected to be denied as not reasonable and necessary
KX Requirements specified in the medical policy have been met
KY Dmepos item subject to dmepos competitive bidding program number 5
RB Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair
RR Rental (use the 'rr' modifier when dme is to be rented)
SC Medically necessary service or supply
TW Back-up equipment
Date
Action
Notes
2010-07-01 Changed Code description changed
2009-01-01 Changed Code description changed
2004-07-01 Added Added
CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"