CORRECT CODING – WHILL MODEL A POWERED PERSONAL MOBILITY DEVICE


Retired and replaced by revised version on 12/27/2016.

Joint DME MAC Publication

The WHILL Model A (Whill, Inc., San Carlos, CA) is a powered personal mobility device designed “…to improve the mobility for all, not just those with a disability.”[1] As noted by the manufacturer, this product has not been submitted to the FDA and is not considered to be a medical device.  Consequently, this item is non-covered (no Medicare benefit). 

For Medicare billing purposes, claims for this device must be submitted using HCPCS code:

A9270 – NONCOVERED ITEM OR SERVICE

This code is considered as all-inclusive for this product. None of the existing HCPCS codes for wheelchair bases, options, accessories, seating, etc. are appropriate for use with this product.  Claims for this item using existing wheelchair related codes will be denied as incorrect coding.

DMEPOS Suppliers are reminded that there is no Medicare reimbursement available for repairs or replacement of non-covered items.

Refer to the Power Mobility Devices, Wheelchair Options and Accessories and Wheelchair Seating LCDs and related Policy Articles for additional information on coverage, coding and documentation requirements.

For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.

[1] www.whill.us/faq, accessed 10 April 2015

 

Published by Noridian as the PDAC, May 2015. Republished by Palmetto GBA as the PDAC, February 2019. Please note that links in this document were accurate at the time of original publication and may change over time and are no longer active.



Last Updated: 05/19/2015