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Wheelchair management is a comprehensive process that involves evaluating a patient's medical history and current functional capabilities by a qualified professional skilled in assistive devices and technology. This assessment is crucial for understanding the patient's specific needs and challenges related to mobility. During this process, various factors are considered, including the patient's environment and any transportation issues that may affect wheelchair use. The healthcare provider collaborates with the patient and their caregivers to establish clear goals and objectives for wheelchair use, ensuring that the chosen device will enhance the patient's quality of life. Once the necessity for a wheelchair is confirmed, the professional selects the most suitable type and model based on the individual's unique requirements. This selection process includes taking precise measurements to ensure the patient is fitted with a wheelchair that accommodates their body size and shape. Essential components such as neck supports, arm and foot rests, and seatbelts are incorporated to enhance comfort and safety. Adjustments are made to ensure an optimal fit, which is vital for the patient's overall well-being. Finally, training is provided to both the patient and their caregivers on safe transfer techniques in and out of the wheelchair, as well as effective propulsion methods across various surfaces, promoting independence and mobility.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of wheelchair management is indicated for patients who require assistance with mobility due to various medical conditions or functional limitations. The following are specific indications for this procedure:
The wheelchair management procedure involves several critical steps to ensure that the patient receives the most appropriate wheelchair for their needs. Each step is designed to facilitate a thorough assessment and fitting process.
After the wheelchair management procedure, patients are expected to follow specific post-procedure care guidelines to ensure optimal use of the wheelchair. This includes regular follow-up appointments to assess the fit and functionality of the wheelchair, making any necessary adjustments as the patient's needs change. Caregivers are encouraged to reinforce the training provided, ensuring that safe transfer techniques and propulsion methods are practiced consistently. Additionally, patients should be educated on the importance of maintaining the wheelchair, including routine checks for wear and tear, to ensure safety and longevity of the device. Overall, the goal of post-procedure care is to support the patient's mobility and independence while minimizing the risk of injury.
| Short Descr | WHEELCHAIR MNGMENT TRAINING | Medium Descr | WHEELCHAIR MGMT EA 15 MIN | Long Descr | Wheelchair management (eg, assessment, fitting, training), each 15 minutes | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 7 - Physical Therapy Service, for which Payment may not be Made | Multiple Procedures (51) | 5 - Special payment adjustment rules on the RVU practice expense component of multiple therapy service applies... | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | Y1 - Other - Medicare fee schedule | MUE | 8 | CCS Clinical Classification | 215 - Other physical therapy and rehabilitation |
| GO | Services delivered under an outpatient occupational therapy plan of care | GP | Services delivered under an outpatient physical therapy plan of care | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | KX | Requirements specified in the medical policy have been met | CQ | Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant | CO | Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | FR | The supervising practitioner was present through two-way, audio/video communication technology | GW | Service not related to the hospice patient's terminal condition | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 97 | Rehabilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for rehabilitative purposes, the physician or other qualified health care professional may add modifier 97 to the service or procedure code to indicate that the service or procedure provided was a rehabilitative service. rehabilitative services help an individual keep, get back, or improve skills and functioning for daily living that have been lost or impaired because the individual was sick, hurt, or disabled. | GQ | Via asynchronous telecommunications system | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | GT | Via interactive audio and video telecommunication systems | 96 | Habilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for habilitative purposes, the physician or other qualified health care professional may add modifier 96 to the service or procedure code to indicate that the service or procedure provided was a habilitative service. habilitative services help an individual learn skills and functioning for daily living that the individual has not yet developed, and then keep and/or improve those learned skills. habilitative services also help an individual keep, learn, or improve skills and functioning for daily living. | U3 | Medicaid level of care 3, as defined by each state | U1 | Medicaid level of care 1, as defined by each state | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | U2 | Medicaid level of care 2, as defined by each state | UC | Medicaid level of care 12, as defined by each state | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 93 | Synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system : synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located away at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that is sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. | 99 | Multiple modifiers: under certain circumstances 2 or more modifiers may be necessary to completely delineate a service. in such situations modifier 99 should be added to the basic procedure, and other applicable modifiers may be listed as part of the description of the service. | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | GN | Services delivered under an outpatient speech language pathology plan of care | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | KS | Glucose monitor supply for diabetic beneficiary not treated with insulin | U5 | Medicaid level of care 5, as defined by each state | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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Notes
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| 2006-01-01 | Changed | Code description changed. |
| 1996-01-01 | Added | First appearance in code book in 1996. |
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