Tilt-in-Space Wheelchairs (K0005 + E1161)
Tilting wheelchairs have a seat-back angle that is maintained as the seating system rotates around a fixed or sliding pivot point which are highly customizable to suit individual needs from seating, cushioning, wheel size, and weight. They offer performance, light durable frame and great features. These wheelchairs are durable and allow patient's who are unable to properly pressure relieve to redistribute weight by rotating the axis where the person sits.
Whether you have questions about insurance or equipment, or simply need some guidance, we're here to help you.
Find out in the Medicare Archive and learn about the ordering process and how insurance handles claims.
Medical Necessity
To get insurance coverage for Custom Tilt-in-Space Manual Wheelchairs (K0005 + E1161), your insurance provider must determine you have a "medical necessity" for the equipment. This means you must have a condition that requires the equipment to prevent, diagnose, or treat and illness or injury; such as, you are unable to accomplish daily living activities in a safe and timely manner in your home without the aid of a Custom Tilt-in-Space Manual Wheelchair. This includes ruling out ambulating unassisted, using a cane or walker, inability to self-propel in any other manual wheelchair (K0001 - K0004), and the individual must be suffering from paraplegia, higher-level quadriplegia, hemiplegia, multiple sclerosis, brain injury or those with developmental disorders such as cerebral palsy, spina bifida and muscular dystrophy can maximize their independence with the use of a K0005 mobility base. The important piece is the client’s functional potential and the long-term goals that have been determined in therapy. The client must also be unable to relieve pressure unassisted, a Tilt-in-Space is appropriate.
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