GE Health PT3000-18 Everest and Jennings Pure Tilt Tilt in Space Wheelchair Instructions
- June 8, 2024
- GE Health
Table of Contents
GE Health PT3000-18 Everest and Jennings Pure Tilt Tilt in Space
Wheelchair
Document Control Number (DCN): 21323003000001
Manufacturer Name| Product Name| Model Number| Assigned
HCPCS Code(s)
---|---|---|---
GF HEALTH PRODUCTS INC| EVEREST & JENNINGS PURETILT TILT IN SPACE WHEELCHAIR|
PT3000-18| E1161+K0195+E2203
Dear CYNTHIA COUNTS,
The Pricing, Data Analysis, and Coding (PDAC) Contractor has reviewed the product(s) listed above and has approved the listed Healthcare Common Procedure Coding System (HCPCS) code(s) for billing the four Durable Medical Equipment Medicare Administrative Contractors (DME MACs). The PDAC Contractor provides coding assistance to manufacturers to ensure proper coding of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). The PDAC publishes coding decisions based on the coding guidelines established by the Local Coverage Determinations (LCDs) and associated Policy Articles and any related Advisory Articles established by the DME MACs. All products submitted to the PDAC for a coding verification review are examined by coders and professionals following a formal, standardized process. Based on this review and application of DME MAC policy, the HCPCS code(s) listed below should be used when billing the DME MACs:
E1161 MANUAL ADULT SIZE WHEELCHAIR, INCLUDES TILT IN SPACE E2203 MANUAL
WHEELCHAIR ACCESSORY, NONSTANDARD SEAT FRAME DEPTH, 20 TO LESS THAN 22 INCHES
K0195 ELEVATING LEG RESTS, PAIR (FOR USE WITH CAPPED RENTAL WHEELCHAIR BASE)
If you disagree with this decision, you may request a reconsideration within
45 days of the letter’s date and provide evidence to substantiate a
reconsideration of PDAC’s original coding determination. To request a
reconsideration, complete the Reconsideration Request form located on the PDAC
website at www.dmepdac.com. If your request for a reconsideration is made
after the 45-day time frame, it will require a new application and
documentation to support the request. It is the responsibility of
manufacturers and distributors to notify the PDAC immediately of any changes
involving their products, as listed on the Product Classification List (PCL)
on the Durable Medical Equipment Coding System (DMECS). Further information
for requesting updates to the PCL can be found on the PDAC website at
www.dmepdac.com. It is also the responsibility of manufacturers and
distributors to assure their websites and product marketing materials
accurately reflect the product reviewed by the PDAC and the coding decision
assigned.
An assignment of the HCPCS code(s) to product(s) is not an approval or
endorsement of the product(s) by Medicare or Palmetto GBA; nor does it imply
or guarantee claim reimbursement or coverage. If you have questions, please
contact the PDAC HCPCS Helpline at
877-735-1326 during the hours of 9:30
a.m. to 5:00 p.m. ET, Monday through Friday. You may also visit our website to
chat with one of our representatives or select the Contact Us button at the
top of the page for email, FAX or postal mail information.
Sincerely, Pricing, Data Analysis, and Coding (PDAC) Palmetto GBA, LLC
www.dmepdac.com
References
Read User Manual Online (PDF format)
Read User Manual Online (PDF format) >>