Bathroom Aids - Raised Seats, Seat Lifts, and Lifts for Toilets
A raised toilet seat (E0244) is a device that adds height to the toilet seat. It is either fixed height or adjustable. It is either attached to the toilet or is unattached, resting on the bowl. (Note: A freestanding raised toilet seat supported by legs on the floor is coded as a commode. See accompanying article for information on coverage.)
A toilet seat lift mechanism is a device with a seat that can be raised with or without a forward tilt while the patient is seated, allowing the patient to ambulate once he/she is in a more upright position. It may be manually operated or electric. It is attached to the toilet. There is no specific code for these devices and therefore code A9270 (noncovered item or service) must be used.
A patient lift for a toilet (E0625) describes a device with which the patient can be transferred from the toilet seat to another seat (e.g., wheelchair). It is used for a patient who is unable to ambulate. Devices billed with this code are attached to either the toilet, ceiling, floor, or wall of the bathroom.
All of these devices are not primarily medical in nature and therefore do not meet the definition of durable medical equipment. They are statutorily noncovered - no benefit category.
Published by Palmetto GBA as the SADMERC, May 2005. Republished by Noridian as the PDAC, August 2008. Republished by Palmetto GBA as the PDAC, January 2019.