An individual who requires a power wheelchair is usually totally non-ambulatory and has severe weakness of the upper extremities that prevents them from self-propelling in a manual wheelchair. Medicare has certain coverage criteria to qualify a patient for a K0010, K0011 and K0012. A Jazzy power base unit could be considered medically necessary when all of the following coverage criteria are met:
The patient's condition is such that without the use of the wheelchair the patient would be bed or chair confined; and,
The patient's condition is such that a wheelchair is medically necessary and the patient is unable to operate a wheelchair manually; and,
The patient's is capable of safely operating the controls of a power wheelchair; and,
The patient requires the use of a wheelchair to move around in their residence; and,
The patient's condition is such that a power wheelchair will be needed long term (at least 6 months)
A prescription from the treating physician which states "Power Wheelchair".
An order which has been signed and dated by the treating physician and/or a certificate of medical necessity, which has been filled out, signed and dated by the treating physician. In addition, supporting medical documentation to back up and support the need for the power wheelchair is needed
TO SEE IF YOU QUALIFY FOR A POWER UNIT AND MEET MEDICARE'S GUIDELINES OR FOR ADDITIONAL INFORMATION, CALL US TODAY AT (800) 376-8267 or (425) 481-6546
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