Telehealth proved its efficacy during the heart of the COVID-19 public health emergency, when hospitals and clinics sharply limited in-person appointments, but wheelchairs and seating provision for Medicare beneficiaries still needed to move forward. The telehealth option isn’t the answer in every situation: It’s not a good fit where internet connections are unreliable or when…
Telehealth Update: Industry Organizations Comment on Latest Extension, 2025 Wins
CMS Final Rule Restarts Competitive Bidding, Requires Annual DMEPOS Accreditation
Urological, ostomy and tracheostomy supplies were deemed to be appropriate for Medicare competitive bidding.
The Centers for Medicare & Medicaid Services (CMS) home health calendar year 2026 final rule revives Medicare’s controversial competitive bidding program and requires annual accreditation for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) suppliers who bill Medicare. The long-awaited final rule was published on Nov. 28. Accreditation to become an annual requirement Accreditation, which…
Briefly: CMS Announces Medicare Part B Premium, Deductible; New Mobility Seeks a Print Return
Featuring the Centers for Medicare & Medicaid Services and United Spinal Association.
CMS Announces Medicare Part B Premium, Deductible Increases for 2026 The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly premium for Medicare Part B enrollees will be $202.90 in 2026. The annual deductible for all Medicare Part B beneficiaries will be $283. That’s an increase of $17.90 for the monthly…
Updated Urological Supplies LCD Includes SCI Revision
The change impacts eligibility for sterile catheter kits.
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…
CMS PMD Policy Article Revisions Include Power-Assist Changes
The changes update descriptions for power assist and power add-ons.
The Centers for Medicare & Medicaid Services (CMS) has updated its policy article for power mobility devices (PMDs) — and the latest article contains updates to power-assist definitions and descriptions. The effective revision date for the changes is Oct. 1, 2025. A power-assist system, HCPCS coded E0986, is described as “An electrically powered option that…
Symmetric Designs Announces New HCPCS Codes for Respira Back Support
The wheelchair back is available in three models.
Symmetric Designs Ltd. has announced new HCPCS codes for Respira back supports. In an Oct. 31 notice, CEO Sam Hannah announced that the Respira line is now coded E2620 (positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware) and E2613 (positioning wheelchair back…
Commentary: Did Policy Changes Just Ease CRT’s Roll?
The removal of ICD-10 codes for seating and changes for power mobility device replacements may be smoothing out the policy pavement.
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…
CMS: ICD-10 Codes No Longer Required for Wheelchair Seating Documentation
The DME MAC contractors announced the change on Oct. 2.
The Centers for Medicare & Medicaid Services’ (CMS) DME MAC contractors have removed ICD-10 codes from its wheelchair seating requirements. The National Coalition for Assistive & Rehab Technology (NCART) reported the change in an Oct. 2 breaking news bulletin to stakeholders while linking to the updated article. The article’s revision date is Oct. 1, 2025.…
Medicare Claims on Hold as Government Shuts Down, Telehealth Flexibilities End
As the government shut down Oct. 1, pre-pandemic Medicare telehealth policies resumed.
As the federal government shut down on Oct. 1 due to lack of funding, Noridian Healthcare Solutions — the DME MAC for Jurisdiction A — sent out a reminder to stakeholders that Medicare claims would be put on hold. “When certain legislative payment provisions (“extenders”) are scheduled to expire, CMS [Centers for Medicare & Medicaid…