Is a gel cushion covered by Medicare?
Gel cushions are considered necessary for skin protection, and because of this, Medicare will only cover the cost of a gel cushion if the user either has a pressure ulcer or has had one in the past, and in an area where the body comes in contact with the wheelchair seat.
Will Medicare pay for a Roho cushion?
Will Medicare cover the cost of a ROHO/Air wheelchair cushion? Generally, Medicare will cover up to 80% of the cushion, while the user pays the remaining 20%.
Is E2601 covered by Medicare?
A general use seat cushion (E2601, E2602) and a general use wheelchair back cushion (E2611, E2612) are covered for a beneficiary who has a manual wheelchair or a power wheelchair with a sling/solid seat/back which meets Medicare coverage criteria.
How do you find the LCD code?
To find an LCD by HCPCS code, press CTRL and the F key to open the “find” tool. Then, enter the HCPCS code. The code you are looking for will be highlighted. To view the LCD and/or Policy Article, simply click the link.
What is E2622?
HCPCS Code for Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth E2622.
What is a Jay cushion?
Designed to stabilise the pelvis, protect the skin and position the body, JAY’s comprehensive range of wheelchair cushions are highly comfortable, lightweight, low maintenance and can accommodate a wide range of mobility seating requirements.
What qualifies a patient for a ROHO cushion?
The patient must have a skin ulcer, skin breakdown, or impaired sensation and be unable to shift weight. The full Medicare Guidelines can be found here. ROHO wheelchair seat cushions are made to provide the pressure relief needed.
How often will Medicare replace a wheelchair cushion?
every 3 years
Experts on the Medicare guidelines are certain that they will pay for a new cushion every 3 years. The ordering process for new cushions is slow, which is another reason you should request one every 3 years. It is best to order a new cushion when the current one is still in good condition.
What does LCD mean for Medicare?
Local Coverage Determination
What’s a “Local Coverage Determination” (LCD)? LCDs are decisions made by a Medicare Administrative Contractor (MAC) whether to cover a particular item or service in a MAC’s jurisdiction (region) in accordance with section 1862(a)(1)(A) of the Social Security Act.
What is a bariatric cushion?
A bariatric wheelchair cushion is constructed of different materials such as highly resilient foam, gel, air, firm memory foam or a combination, is larger and wider than a regular wheelchair cushion and is designed to enhance comfort, trunk stability, and positioning for users weighing up to 750 pounds.
What is a Jay cushion made of?
Ion® Cushion The JAY Ion is a comfortable wheelchair cushion composed of a multi-layered foam base, moisture resistant inner cover, and an anti-microbial outer cover.