CORRECT CODING – BILLING OF HCPCS CODE E0986
Recently the Pricing, Data Analysis and Coding (PDAC) Contractor and the four Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have received questions regarding HCPCS code E0986 Manual wheelchair accessory, push activated power assist, each.
E0986 is a push-rim activated power assist option for a manual wheelchair in which sensors embedded in specially designed wheels determine the force that is exerted by the beneficiary upon the wheel. Additional propulsive and/or braking force is then provided by motors in each wheel. E0986 includes the two drive wheels/motors, batteries and battery charger. Only one unit of service should be billed per manual wheelchair.
Published by Noridian as the PDAC, July 2014. 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note that links in this document were accurate at the time of original publication and may change over time and are no longer active.