New ICD-10 codes take effect for mobility devices
By HME News Staff
Updated 12:30 PM CST, Wed December 14, 2022
WASHINGTON – An updated policy article for wheelchair seating that went into effect on Oct. 1, 2022, includes additional ICD-10 codes that will allow Medicare beneficiaries with certain diagnoses to obtain the seating products that they require. The codes were requested by the Clinician Task Force. The codes and diagnoses are: F03 - Unspecified Dementia Group 2 and Group 4 G31.83 - Dementia with Lewy bodies Group 2 and Group 4 G60.0 - Hereditary Motor and Sensory Neuropathy Group 2 Q72 codes - Congenital complete absence of lower limb or of thigh and lower leg with foot present Group 3 and Group 4 Q79.60-Q79.69 - Ehlers-Danlos Syndrome Group 2 and Group 4 Q90.0, Q90.1, Q90.2, Q90.9 - Down Syndrome Group 2. In addition, the updated ICD-10 codes include various types of muscular dystrophy. “This is excellent progress for those who require more than a general use seat or back cushion,” said CTF. “Please keep in mind that the ICD-10-CM code alone does not confer coverage; rather, the clinical findings manifested by the beneficiary must be documented in the medical record to support the medical necessity.”
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