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Old 07-18-2011, 08:52 AM
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Default E0635 Electric Lift

I might be out to lunch on this, but I thought that the only lifts that were covered by Medicare were the Hydraulic Lifts and the Sit to Stand ones were not covered? Can someone shed more light on this one for me?
Thanks
Jamie
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Old 07-20-2011, 11:01 PM
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This is from the Region B Medicare Manual:

A patient lift is covered if transfer between bed and a chair, wheelchair, or commode is required and, without the use of a lift, the patient would be bed confined.

A patient lift described by codes E0630 or E0635, E0639, or E0640 is covered if the basic coverage criteria are met. If the coverage criteria are not met, the lift will be denied as not reasonable and necessary.

A multi-positional patient support/transfer system (E0636, E1035, E1036) is covered if both of the following criteria 1 and 2 are met:

The basic coverage criteria for a lift are met; and
The patient requires supine positioning for transfers.
If either criterion 1 or 2 is not met, codes E0636, E1035, and E1036 will be denied as not reasonable and necessary.

If coverage is provided for code E1035 or E1036, payment will be discontinued for any other mobility assistive equipment, including but not limited to: canes, crutches, walkers, rollabout chairs, transfer chairs, manual wheelchairs, power-operated vehicles, or power wheelchairs.

Code E0621 is covered as an accessory when ordered as a replacement for a covered patient lift.

E0635 is described as:

PATIENT LIFT, ELECTRIC WITH SEAT OR SLING
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