Standard hemi wheelchair with low seat height

Description

This code describes a standard hemi wheelchair designed for users who require a lower seat height for easier transfers and mobility. It is suitable for individuals with limited lower extremity strength or those who need assistance in sitting and standing. The wheelchair provides essential support while promoting independence in daily activities.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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HCPCS/CPT RRRental of durable medical equipment(94.41%)

HCPCS/CPT KJDMEPOS item for parenteral enteral nutrition pump rental, months 4-15(32.62%)

HCPCS/CPT KIDMEPOS item rental for second or third month(27.3%)

HCPCS/CPT KHDMEPOS item, initial claim, purchase or first month rental(26.9%)

HCPCS/CPT KXDocumentation requirements met for DMEPOS items(7.32%)

HCPCS/CPT NUPurchase of new durable medical equipment(3.73%)

HCPCS/CPT MSMaintenance and service fee for durable medical equipment(1.86%)

HCPCS/CPT GLUpgrade item: medically unnecessary enhancement provided without charge(1.33%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(0.67%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(0.4%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
HCPCS Quarterly Update, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)