SADMERC Letters for Funding

SADMERC Letters for Funding
Healthcare Common Procedure Coding System (HCPCS Codes), are numbers assigned to every task, service, and product a medical practitioner may provide to a Medicare / Medicaid patient. Wheelchair products are classified based on similarities in function and if the products exhibit significant therapeutic differences from other products. Since everyone uses the same HCPCS funding codes, it ensures uniformity throughout the medical community. For a detailed overview, please refer to http://www.cms.hhs.gov/MedHCPCSGenInfo/

Karman has been assigned several HCPCS Codes, which you can use for submission.

HCPCS Code Letters

“Code letters” are the letters Karman received that state the code given to certain Karman products. These can be downloaded and sent to your insurance companies, etc to provide the codes for the chair.

HCPCS – K0005 – S-ERGO 300 Series – Ultralightweight Wheelchair

HCPCS – K0005 / E1236 – ERGO ATX – Ultralightweight Wheelchair

HCPCS – K0004 – S-ERGO 100 Series – High Strength Ultralight Wheelchair

HCPCS – K0004 / K0005 – LT-K5 – High Strength Lightweight Wheelchair

HCPCS – K0003 / E2201 – MVP-502 Series – Lightweight Reclining Wheelchair

HCPCS – K0004 – LT-980 Series – High Strength Lightweight Wheelchair

HCPCS – E0245 / E0240 – Shower Chairs

HCPCS – E0143 – R-4602 Rollator

HCPCS – E0274 – Overbed Table

HCPCS – E0138 – KW-100 Knee Walker

HCPCS – K0007 / E2201 – KM-8520 – Extra Heavy Duty Wheelchair

HCPCS – E0163 – Commode

HCPCS – K0004 / K0005 – KM-802 Series – High Strength Ultralight Wheelchair

HCPCS – K0007 / K0028 – KM-5000 Series – High Strength Light Reclining Wheelchair

HCPCS – K0004 – KM-8020 Series – High Strength Ultralight Wheelchair

HCPCS – K0004 – KM-9020 Series – High Strength Ultralight Wheelchair

HCPCS – E1038 – TV-10B – Transport Travel Wheelchair

HCPCS – K0001 – KN-700 Series – Standard Weight Wheelchair

HCPCS – K0003 – LT-700 Series – Standard Lightweight Wheelchair

HCPCS – K0003 – LT-800 Series – Standard Lightweight Wheelchair

HCPCS – K0003 – KN-800 Series – Standard Lightweight Wheelchair

HCPCS – K0003 – KN-880 Series – Standard Lightweight Wheelchair

HCPCS – K0007 – KN-900 Series – Extra Heavy Duty Wheelchair

HCPCS – E0138 – LT-2000 Series – Transport Wheelchair

HCPCS – E0143 – R-3000 Series Rollator

HCPCS – E0143 / E0156 – R-4000 Series Rollator

HCPCS – E0143 / E0156 – R-5000 Series Rollator

HCPCS – E0138 – T-2000 STD Series – Transport Wheelchair

HCPCS – E0138 – T-1000 Series – Transport Wheelchair

HCPCS – E1038 – T-2700 STD Series – Transport Wheelchair

HCPCS – E1038 – T-3000 Series – Transport Wheelchair

HCPCS – E0135 – Folding Walker Aluminum Series

HCPCS – E1038 – LT-1000 Series – Transport Wheelchair Up to 300 lbs

The above HCPCS Codes for Karman Wheelchairs can be used with below Manual Wheelchair Accessories

Transit Accessories HCPCSHCPCS Code Description
2-Point BeltE0978Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
3-Point BeltE0978Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
Adjustable Contour HeadrestE0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
Anterior Trunk SupportE0960Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
Frame Options HCPCSHCPCS Code Description
ReclineE1225Wheelchair accessory, manual semi-reclining back(recline greater than 15 degrees, but less than 80 degrees), each
TiltE1161Adult Tilt in Space
Pelvis Positioning OptionsHCPCSHCPCS Code Description
2-Point BeltE0978Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
3-Point BeltE0978Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
Support Cushion – General Use Flat Solid SeatE2601General use  wheelchair seat cushion, width less than 22 inches, any depth
Position Cushion – Medial Thigh Support/Anti ThrustE2607Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
Align Cushion – Lateral Pelvis/Lateral Thigh SupportE2607Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
Foot & Leg PositioningHCPCSHCPCS Code Description
Angle Adjustable FootplatesK0040Adjustable angle footplate, each
Medial Thigh Support (Abductor/Pommel)E0957Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware
Lateral Thigh Support (Adductor)E0956Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
Medial Thigh Support (Pommel)E0957Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware
S/A Adj. Hardware for Left Lateral Thoracic SupportE0128Wheelchair accessory, manual swing away, retractable or removable mounting hardware for joystick, other control interface or positioning accessory
Ball JoinE2345 Accessory on pivot point for conjunction
Trunk PositioningHCPCSHCPCS Code Description
H-harness with Padded coversE0960Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
Anterior Trunk SupportE0960Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
SA Adj. Lateral Support (Single Flap) with Scoli StrapE0956Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
Thoracic SupportE0956Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
Swing Away Hardware for Thoracic SupportE1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory
Adj Firm Lateral Thoracic Supports (Contoured)E0956Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
Anterior Trunk SupportE0960Wheelchair accessory,
Head SupportHCPCSHCPCS Code Description
Padded HeadwingsE0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
Headrest ExtensionE0966Manual wheelchair accessory, headrest extension, each
Adjustable Contour HeadrestE0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
Contoured Firm HeadrestE0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
Firm Backrest Extension – Flat or ContouredE0966Manual wheelchair accessory, headrest extension, each
Headrest Extension Foldingn/aFoldable
Wheel LocksHCPCSHCPCS Code Description
Caster LockK0073Caster pin lock each
Caster LockK0073Caster pin lock each
AccessoriesHCPCSHCPCS Code Description
Upper Extremity Support Surface (Tray)E0950Wheelchair accessory, tray, each
Crash Tested Foam TrayE0950Wheelchair accessory, tray, each
Oxygen Tank BagE2208Wheelchair accessory, cylinder tank carrier, each
Rear Anti-Tip TubesE0971Manual wheelchair accessory, anti-tipping device, each

*The HCPCS codes provided on this form are based on code verification through PDAC or our interpretation of the code definitions. DME providers are responsible for determining appropriate billing codes for their service areas when submitting for insurance reimbursement. HCPCS codes provided on this form should not be considered as legal advice.

 

 

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