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


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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