[ylbms]

We have been getting many denials for elevating legrests for patient's who have wheelchairs that only need one ELR. Billing with the E0990 because they only have one not two and the RR and RT/LT mod.These are being denied now because as of 1/10 article for wheelchair options/accessories states-

FOOTREST/ LEGREST:

Elevating legrests that are used with a wheelchair that is purchased or owned by the patient are coded E0990. This code is per legrest. Elevating legrests that are used with a capped rental wheelchair base are coded K0195. This code is per pair of legrests.

I have talked to 2-3 Medicare customer service reps and all they did was read what the article states and my question to them was, "If the patient only has/need one ELR then we should be billing for two even though they do not have two? and If there is a new code what is it?" they could not give me any definite answers. Is there a new code or correct way to bill? Please HELP!

[HEATHER]

Since the code for ELR's provided with capped rental manual wheelchairs are only listed by the pair - we always deliver a pair and bill for a pair.

[DeeDee]

We also provide and bill for a pair. An ELR can also be used as a footrest even if they don't require the elevating portion for that leg.