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Thursday, November 5, 2009

Jurisdiction B News: Power Mobility Devices - Replacement

 
 
 
 
Power Mobility Devices - Replacement

Suppliers are reminded that replacement of power mobility devices (PMDs) under reasonable useful lifetime rules differ from other types of durable medical equipment.  As detailed in Final Rule for Power Mobility Devices (Federal Register, Vol. 71, No. 65, April 5, 2006) and in the Power Mobility Devices Policy Article, when replacing a PMD after the 5 year reasonable useful lifetime is met, the beneficiary must meet all of the coverage requirements outlined in the local coverage determination (LCD) and Policy Article, including a new 7-element order and face-to-face examination.  Claims that do not meet the coverage, coding, or documentation criteria will be denied.

 
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