Manual Wheelchair Bases

Manual wheelchair bases are covered for in-home use when Medicare coverage rules are met and the beneficiary meets general criteria A–E plus either sufficient self-propulsion ability or an available caregiver (F or G). Specific HCPCS-designated wheelchair types (K0001–K0008, E1037–E1039, E1161) have additional, model-specific medical necessity criteria (e.g., weight thresholds, seat dimensions, full-time use, specialty evaluations, RTS/RESNA-ATP involvement). Required documentation includes a Standard Written Order (SWO) or WOPD as applicable, proof of delivery, and specialty evaluations where specified; failure to meet coding, documentation, or delivery requirements results in claim denial.

"Beneficiary has a mobility limitation that significantly impairs participation in one or more mobility-related activities of daily living (MRADLs) in customary locations in the home (toileting, fee..."