DME MACs change coding for wheelchair accessories
By HME News Staff
Updated 9:46 AM CDT, Mon March 17, 2025
WASHINGTON – CMS is revising E1028 and creating three new HCPCS codes for wheelchair accessories effective April 1.
A joint DME MAC publication announced the following updates:
- Revise existing HCPCS Level II code E1028, "Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory" to instead read "Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other"
- Establish a new HCPCS Level II code E1032, "Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface."
- Establish a new HCPCS Level II code E1033, "Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type"
- Establish a new HCPCS Level II code E1034, "Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type"
The DME MACs noted that E1032, E1033 and E1034 are in the capped rental payment category. To avoid potential overpayments, they say, items previously coded and billed under E1028 that are still in the capped rental period should continue to be billed under code E1028 rather than switching mid-capped rental to the new HCPCS code.
At press time, the fee schedules for the new codes were not posted.
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Go here for the official announcement.
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