![]() To submit claims to the DME MACs for power seat elevation equipment beginning May 16, 2023, outside of the exceptions noted below, suppliers must use Healthcare Common Procedure Coding System (HCPCS) code E2300 (Wheelchair accessory, power seat elevation system, any type). The final decision memorandum is available here: In addition, the Durable Medical Equipment Medicare Administrative Contractor (DME MAC) has discretion to determine reasonable and necessary coverage of power seat elevation equipment for individuals who use Medicare-covered power wheelchairs other than complex rehabilitative power-driven wheelchairs. It also provides for national coverage of power seat elevation equipment on Medicare-covered complex rehabilitative power-driven wheelchairs, as defined in 42 CFR 414.202, under the criteria specified in the NCD. This determination finds that power seat elevation equipment on Medicare-covered power wheelchairs falls within the benefit category for durable medical equipment (DME). ![]() The Centers for Medicare & Medicaid Services plans to conduct bidding for the next round of the DMEPOS CBP after going through notice and comment rulemaking to further strengthen the DMEPOS CBP.įor additional information on the gap period, please see the Temporary Gap Period (PDF) fact sheet and continue to monitor the CMS.gov and Competitive Bidding Implementation Contractor (CBIC) websites for updates.Ĭoverage, Coding and Payment for Power Seat Elevation Equipment on Power WheelchairsĬMS published a final Benefit Category Determination and National Coverage Determination (BCD NCD) for Seat Elevation Equipment (Power Operated) on Power Wheelchairs on May 16, 2023. Starting January 1, 2024, there will be a temporary gap in the DMEPOS CBP. All Medicare Round 2021 Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program (CBP) Contracts for Off-the-Shelf (OTS) back braces and OTS knee braces expire on December 31, 2023.
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