National Government Services (NGS), the Jurisdiction B DME MAC, is recommending that suppliers review a document that clarifies proper billing procedures for power wheelchair electronics.
The document, the result of a combined effort from all four DME MACs, cites “confusion” about how power chair electronics should be billed and gives examples of proper procedures. The document is entitled “Power Wheelchair Electronics Clarification – A49991.”
“When one power seating function/actuator/motor is provided on a power wheelchair, one unit of E2310 (electronic connection between wheelchair controller and one power seating system motor) is allowed,” the document says. “An expandable controller (E2377) and harness (E2313) are not allowed in this situation unless a specialty interface is used.”
The clarification goes on to give billing examples for HCPCS codes ranging from E1002 (power seating system, tilt only) to E1008 (wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction).
In the E1008 example, the clarification document says, “The tilt, recline, and power shear reduction features each have one actuator or power seating system motor, for a total of three. An expandable controller (E2377) and the wiring harness (E2313) are also allowed when a specialty interface is required, i.e., head control interface (E2327, E2328, E2329, E2330), sip-n-puff interface (E2325), joystick other than a standard proportional joystick (E2312, E2321, E2373), or multi-switch hand control interface (E2322).
“There is no separate billing/payment for electronics if a non-expandable controller and a standard proportional joystick (integrated or remote) are provided.”
To read the entire Power Wheelchair Electronics Clarification document, click HERE.
