Power Wheelchair Repairs and Replacement Accessories - DME.WC.103.A

Repairs and replacement accessories for medically necessary power wheelchairs are covered when documentation shows a problem that impacts the wheelchair’s function and billed using the listed HCPCS codes. They are not indicated for non‑medically necessary wheelchairs or without documentation of a functional problem; the policy lists no explicit frequency, age, or other limits.

"The patient uses a medically necessary power wheelchair"

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