Power Wheelchair Medical Policy

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Medical Necessity Guidelines: Power Wheelchairs

https://tuftshealthplan.com/documents/providers/guidelines/medical-necessity-guidelines/power-wheelchair

• The Member has sufficient cognitive and motor ability to operate a power wheelchair safely and without assistance. • The Member must be able to use the power wheelchair in their home. A home evaluation, including a home accessibility survey …

Power Mobility Devices - UHCprovider.com

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/power-mobility-devices.pdf

the term Group 3 heavy duty power wheelchair denotes that the PWC has Group 3 performance characteristics and member weight handling capacity between 301 …

Manual, Powered, and Motorized Wheeled Mobility Devices

https://www.paramounthealthcare.com/assets/documents/MedicalPolicy/PG0284_Power_Mobility_Devices.pdf

able to provide assistance, a manual wheelchair may be appropriate Power mobility devices (PMD) A PMD may be medically necessary when ALL of the following criteria are …

Article - Power Mobility Devices - Policy Article (A52498)

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52498

Power Mobility Device (PMD) - Base codes include both integral frame and modular construction type power wheelchairs (PWCs) and power operated vehicles …

Wheelchairs and Power Operated Vehicles (Scooters)

https://www.aetna.com/cpb/medical/data/200_299/0271.html

CG-DME-31 Powered Wheeled Mobility Devices - Anthem

https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_a048545.html

Powered/motorized wheelchairs, with or without power seating systems, pushrim activated power assist device (an addition to a manual wheelchair to convert to …

Medical Policy Manual and Power Operated Wheelchairs

https://www.bluecrossma.org/medical-policies/sites/g/files/csphws2091/files/acquiadam_assets/2022-06/365%20Manual%20and%20Power%20Operated%20Wheelchairs.pdf

Power wheelchairs are used for patients who are unable to walk, or have upper extremity impairment, chronic conditions such as severe end stage pulmonary function, COPD, or …

Medicare’s Wheelchair & Scooter Benefit

https://www.medicare.gov/Pubs/pdf/11046-Medicare-Wheelchair-Scooter.pdf

Medicare will send a decision letter to your power wheelchair supplier. You can contact your power wheelchair supplier about the decision, or call 1-800-MEDICARE (1-800-633 …

Wheelchairs/Power Operated Vehicles - Cigna

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0030_coveragepositioncriteria_wheelchairs_power_operated_vehicles.pdf

wheelchairs and strollers, power mobility devices, power operated vehicles (POV), power wheelchairs (PWC), a custom motorized/power wheelchair base, power wheelchairs …

Article - Wheelchair Options/Accessories - Policy Article …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52504

A power standing system (E2301) includes: a solid seat platform and a solid back; detachable or flip-up fixed height armrests; hinged legrests; anterior …

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