Qualifications

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... What are the qualifications for a Power Wheelchair or Scooter?


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The coverage criteria for Power Mobility Devices (Power wheelchair or Scooter) has changed and Mobility Solutions wants to help you to understand these changes. To determine if a Power Mobility Device is right for you or your client, you may use the following information as a guide to document the Medicare requirements.

* * All documentation must be in the Doctor’s normal office note * *
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  • The client must have an office visit with their doctor to discuss the need for the Power Mobility Device (PMD). Medicare will cover this visit. (CPT Code: G0372 in addition to your Office Visit).
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  • The doctor must document the client's primary complaint regarding the need for a PMD and why a walker and manual wheelchair will not accommodate the client's mobility needs within their home environment.
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  • The doctor must document why they recommend a Power Mobility Device (PMD) to perform Mobility-Related Activities of Daily Living (MRADL). Examples include: toileting, grooming, eating, etc.
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  • The doctor should then refer the client to an independent Physical Therapist or Occupational Therapist for a complete mobility evaluation.
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