Reimbursement
While it’s nothing new for therapists to have to work with and understand reimbursement coding systems, the implementation of the Medicare policy for wheelchair seating has placed responsibility on you to negotiate these new rules and requirements. More recently, the implementation of both competitive bidding and ICD-10 codes have added another layer of complexity. For information and updates on Wheelchair Seating Local Coverage Determination, use Noridian Medicare's database.
We believe it is our responsibility to provide therapists and dealers with the tools to navigate these reimbursement obstacles. We remain committed to developing innovative products, driven by client's needs that will continue to provide the positive outcome that you have learned to expect from us.
We invite you to contact us with any coding questions that may arise.
We've created these guides as a tool to help navigate the reimbursement selection criteria.
- Seat Cushion U.S. Reimbursement Decision Guide
- Back Support U.S. Reimbursement Decision Guide
- View a Sample Justification Letter
Below are letters from Centers for Medicare and Medicaid (CMS) verifiying HCPCS coding on VARILITE seat cushions and back systems.
Date | Title | ||
12.06.06 |
Evolution PSV™ K0734 CMS Verification Letter: Additional Sizes Approved |
Download | |
12.06.06 |
Evolution™ K0734 CMS Verification Letter: Additional Sizes Approved |
Download | |
12.01.17 |
Zoid™ E2622 CMS Verification Letter: Standard Valve Approved |
Download | |
10.30.14 |
Reflex™ E2603 CMS Verification Letter |
Download | |
06.13.05 |
Evolution Back™ Regular, E2613 & E2614 CMS Verification Letter |
Download | |
06.13.05 |
Evolution Back™ Tall, E2613 & E2614 CMS Verification Letter |
Download | |
12.30.05 |
Meridian™ K0108 CMS Verification Letter |
Download | |
11.14.05 | Evolution Wave™ K0108 CMS Verification Letter |