Walkers - Policy Article

Walkers are covered under Medicare's DME benefit only when they meet DME eligibility and the LCD-determined reasonable and necessary criteria and comply with statutory and policy-specific documentation/coding rules (including Final Rule 1713 face-to-face and Written Order Prior to Delivery requirements). Certain items are noncovered (e.g., powered walkers E0152, combination walker/chair E0150) and many walker codes require specific PDAC/CVR verification, manufacturer/product identification, and appropriate modifiers (KX/GA/GZ/GY) or will be denied or rejected.

"A walker is covered under the Medicare Durable Medical Equipment (DME) benefit when the item is within the DME benefit category and is reasonable and necessary for the diagnosis or treatment of ill..."

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