Another Revision to PMD Fee Schedule

BALTIMORE–In the latest of a series of revisions to its power
mobility device fee schedule, last week CMS issued additional
changes as part of its April 2007 quarterly update.

Effective for claims with dates of service on or after Jan. 1,
2007, payments have been revised for HCPCS codes K0822, K0825,
K0835, K0838, K0848, K0850, K0851 and K0859.

While some payments went up–reimbursement for the K0825 Group 2
power wheelchair increased to $4,433.20–others went down. CMS said
the adjustments reflect policy changes related to angle adjustable
footplates, which are now separately billable for certain PMDs.

In addition, 2006 fee schedule amounts have been revised for
HCPCS codes K0825, K0850, K0851 and K0859 for claims with dates of
service from Nov. 15 through Dec. 31, 2006.

Beginning April 2, 2007, suppliers may submit previously
processed claims for these items to the DME MACs or DMERCs for
adjustment. The claims should not be submitted before April 2 in
order to allow carrier system updates, according to CMS.

For specific coding questions, CMS advised contacting the
SADMERC at www.palmettogba.com/SADMERC or calling (877)
735-1326.