CMS: Make Sure PMD Order Comes from Eligible Prescriber

• By Laurie Watanabe
• Dec 03, 2013

A Centers for Medicare & Medicaid Services (CMS) Medicare Learning Network article is reminding DME suppliers and complex rehab technology providers to be sure that power mobility device (PMD) orders come from healthcare professionals who are authorized to prescribe them.

The Medicare article notes that Change Request 8239, effective April 1, 2014, will result in Medicare contractors denying certain power wheelchair and scooter claims "if the ordering/referring provider is not on Medicare's list of providers eligible to order/refer these PMDs."

The Medicare Modernization Act of 2003 requires a physician, physician assistant, nurse practitioner or clinical nurse specialist to conduct a face-to-face examination of the beneficiary and write the prescription for the PMD.

The impacted HCPCS codes are K0800-808 and K0812 (scooters); K0813-K0891 and K0898 (power wheelchairs); and K0013 (custom motorized/power wheelchair base).

To read the full Medicare Learning Network article and to view a list of authorized physician specialties as seen in the Provider Enrollment, Chain and Ownership System, click HERE.