The updated urological supplies local coverage determination (LCD) published by the Medicare DME MAC contractors includes a significant change for patients with spinal cord injuries (SCI). The LCD was published Nov. 13, with an effective date of Jan. 1, 2026. “The LCD incorporates finalized revisions, as a result of the LCD reconsideration process and written…
Updated Urological Supplies LCD Includes SCI Revision
DME MACs Issue Coding Reminders on PWC Hardware, Accessories
The Medicare contractors cited “confusion” among providers when billing a group of electronics codes.
The DME MAC contractors for the Centers for Medicare & Medicaid Services (CMS) have issued a joint reminder regarding proper coding for power wheelchair hardware and accessories. In the Oct. 2 bulletin, the DME MACs said, “There is confusion regarding the billing of certain power wheelchair electronic codes. This article provides instructions on the appropriate…
Upcoming DME MAC Policy Change Will Facilitate Wheelchair Replacement
Policy revision will apply to wheelchairs from manufacturers who have gone out of business.
A policy change from the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) will make it easier for a Medicare beneficiary to obtain a replacement wheelchair when the manufacturer of the wheelchair has gone out of business and there are no replacement parts — from either the original manufacturer or from aftermarket manufacturers — to…
DME MACs to Allow More Flexibility for MWC Home Assessments
Starting in July, “indirect” home assessments will be allowed for Medicare manual wheelchair claims.
The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have revised their home assessment requirement for manual wheelchairs provided to Medicare beneficiaries. Starting July 1, 2024, the DME MACs will allow home assessments to be “indirectly” obtained by the supplier who is providing the manual wheelchair. The DME MACs plan to remove the following from…