Probasics heavy duty K wheelchair with removable, padded desk arms and reinforced frame. Heavy duty, slide tube silver vein steel frame. Dual axle provides easy transition of seat height from adult to hemi level. Removable desk length arms with padded armrests. Heavy duty vinyl padded upholstery with chart pocket on back. Tool-free footrests include heel loops and aluminum footplates. Tool-free elevating padded legrests are equipped with a pneumatic piston for infinite elevating positions and aluminum footplates.
Easy push to lock wheel locks. Seat size available in 22" x 18", 24" x 18" or 28" x 20". Available with removable footrests or removable elevating legrests. F The beneficiary has sufficient upper extremity function and other physical and mental capabilities needed to safely self-propel the manual wheelchair that is provided in the home during a typical day.
Limitations of strength, endurance, range of motion or coordination, presence of pain, or deformity or absence of one or both upper extremities are relevant to the assessment of upper extremity function.
G The beneficiary has a caregiver who is available, willing and able to provide assistance with the wheelchair. The top denial is the payer deems the information submitted does not support this level of service. If you receive this denial code you are probably using the wrong modifier for the rental month that Medicare has on file. This would occur if you did not check for same or similar and how many months Medicare has already paid for the K upon intake. By not verifying this information, suppliers could put the wrong capped modifier on the claim.
Subscribe Now and Get: Industry knowledge to help you run your home health or HME business Expert insights into important topics in the field Tips for improving key aspects of your business. K Heavy Duty Wheelchairs. The burden of proof is on the provider, so mark these reminders. Tuesday, July 24, A mobility limitation is one that: Prevents the beneficiary from accomplishing an MRADL entirely, or Places the beneficiary at reasonably determined heightened risk of morbidity or mortality secondary to the attempts to perform an MRADL; or Prevents the beneficiary from completing an MRADL within a reasonable time frame.
Related Items Mobility. New Challenges in Complex Rehab Technology. A look at industry priorities for HME Products. A Creative Approach to Complex Rehab. A heavy duty wheelchair K is covered if the beneficiary weighs more than pounds or the beneficiary has severe spasticity. An extra heavy duty wheelchair K is covered if the beneficiary weighs more than pounds. A manual wheelchair with tilt in space E is covered if the beneficiary meets the general coverage criteria for a manual wheelchair above, and if criteria 1 and 2 are met:.
If K is used to describe a prefabricated manual wheelchair base, even one that has been modified in any fashion, the claim will be denied for incorrect coding. A custom manual wheelchair is not reasonable and necessary if the expected duration of need is less than three months e.
If the manual wheelchair will be used inside the home and the coverage criteria are not met, it will be denied as not reasonable and necessary. If the manual wheelchair base is not covered, then related accessories will be denied as not reasonable and necessary. Payment is made for only one wheelchair at a time. Backup chairs are denied as not reasonable and necessary.
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