REVIEW REQUEST FOR

Wheeled Mobility Devices: Wheelchairs-Powered,

Motorized, With or Without Power Seating Systems

& Power Operated Vehicles (POVs)

Provider Data Collection Tool Based on Clinical Guideline CG-DME-31

Guideline Last Review Date: 03/22/2018 / Guideline Publish Date: 03/29/2018 / Provider Tool Effective Date: 09/27/2017
Individual’s Name: / Date of Birth:
Insurance Identification Number: / Individual’s Phone Number:
Ordering Provider Name & Specialty: / Provider ID Number:
Office Address:
Office Phone Number: / Office Fax Number:
Rendering Provider Name & Specialty: / Provider ID Number:
Office Address:
Office Phone Number: / Office Fax Number:
Facility Name: / Facility ID Number:
Facility Address:
Date/Date Range of Service: / Place of Service: Home Inpatient
Outpatient Other:
Service Requested (CPT if known):
Diagnosis Code (s) (if known):

This clinical guideline based data collection tool is for a medical necessity review requests for wheelchairs - powered, motorized, power operated vehicles, and powered seating systems. Powered wheeled mobility devices(also referred to as power mobility device [PMD]) include, but are not limited to, pediatric and adult powered/motorized wheelchairs as well as power operated vehicles (POVs). Powered/motorized wheelchairs use a rechargeable battery pack to propel the device as well as powering other components (for example, position, steering controls) of the wheelchair.

NOTE: Please see the following medical policies and respective data collection tools for other requests:

  • CG-DME-24 for Wheeled Mobility Devices: Manual Wheelchairs–Standard, Heavy Duty and Lightweight
  • CG-DME-33 for Wheeled Mobility Devices: Manual Wheelchairs–Ultra Lightweight
  • CG-DME-34 for Wheeled Mobility Devices: Wheelchair Accessories

Please read carefully and check all that apply to the individual.

Section 1: Power/Motorized Wheelchair or Power Operated Vehicle (POV)

Request is for a powered/motorized wheelchair or power operated vehicle (POV)

(If checked, mark all of the following that apply to the individual)

A written assessment has been completed by a physicianor other appropriate clinician documenting the

individual’s need for the requested wheelchair.

(If checked, mark the following that are included in the assessment AND submit the written assessmentwith

the request)

Individuallacks the functional mobility to safely and efficiently move about to complete mobility-

related activities of daily living (MRADL’s) (for example, toileting, feeding, dressing, grooming, and

bathing in customary locations in the home)

Individual’s living environment supports the use of a powered/motorized wheelchairor POV

Individualhas mental and physical capability to consistently, effectively, and safely operate the

powered/motorized wheelchairor POV

Other assistive devices (for example, canes, walkers, manual wheelchairs) are insufficient or unsafe to

completely meetthe individual’s functional mobility needs

Individual is unable to operate a manual wheeled mobility device

Individual’smedical condition requires a powered/motorized wheelchairor POV for long term use of

at least 6 months

Powered/motorized wheelchairor POV is ordered by the physician responsible for the individual’s care

Individual requires use of a GROUP 1 or GROUP 2 standard powered/motorized wheelchair WITHOUT

power options,and the wheelchair is appropriate for the individual’s weight.

(If checked, mark the following that apply to the individual)

Group 1standard- Select if using one of these codes: K0813, K0814, K0815, K0816

Group 2 standard/heavy duty/ very heavy-duty/extra heavy-duty- Select if using one of these codes:

K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829,

K0830, K0831, K0835, K0836, K0837, K0838, K0839,

K0840, K0841, K0842, K0843

Individual requires use of a GROUP 2 powered/motorized wheelchair WITH power options

(If checked, mark the following that apply to the individual)

Group 2 standard/heavy duty/ very heavy-duty/extra heavy-duty- Select if using one of these codes:

K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829,

K0830, K0831, K0835, K0836, K0837, K0838, K0839,

K0840, K0841, K0842, K0843

Individual requires a SINGLE power option

(If checked, mark the following that apply to the individual)

Individual requires drive control interface other than a hand or chin-operated standard

proportional joystick (for example head control, sip, and puff, switch control)

Individual requires power tilt or power recline seating system and the system is being used on

the wheelchair

Individual requires MULTIPLE power options

(If checked, mark the following that apply to the individual)

Individual requires a power tilt and recline seating system and the system is being used on the

wheelchair

Individual uses a ventilator which is mounted on wheelchair

Individual requires use of a GROUP 3 powered/motorized wheelchair WITH power options

(If checked, mark the following that apply to the individual)

Group 3 standard/heavy-duty/very heavy-duty/extra heavy-duty – Select if using one of these codes:

K0848, K0849,

K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859,

K0860, K0861, K0862, K0863, K0864

Individual has mobility limitations due to a neurological condition, myopathy, or congenital skeletal

deformity

Individual requires NO power options and no other powered/motorized wheelchair performance

characteristics are needed

Individual requires a SINGLE power option

(If checked, mark the following that apply to the individual)

Individual requires a drive-control interface other than a hand or chin-operated standard

proportional joystick (for example, head control, sip, and puff, switch control)

Individual requires a power tilt or a power recline seating system and the system is being

used on the wheelchair

Individual requires MULTIPLE power options

(If checked, mark the following that apply to the individual)

Individual requires a power tilt and recline seating system and system is being used on the

wheelchair

Individual uses a ventilator which is mounted on wheelchair

Individual requires use of a GROUP 4 powered/motorized wheelchair

(If checked, mark the following that apply to the individual)

Group 4 standard/heavy- duty/very heavy-duty –Select if using one of these codes:

K0868, K0869,

K0870, K0871, K0877, K0878, K0879,

K0880, K0884, K0885, K0886

Powered/motorized wheelchair is used in the home and routinely for MRADLs outside the home

Individual’s medical condition requires a feature(s) not available in a lower level powered/motorized

wheelchair to complete MRADLs on a regular basis in customary locations within the home

Individual requires use of a GROUP 5 pediatric powered/motorized wheelchair

(If checked, mark the following that apply to the individual)

Group 5 pediatric – Select if using one of these codes: K0890, K0891

Individual is expected to grow in height

Individual requires a SINGLE power option

(If checked, mark the following that apply to the individual)

Individual requires a drive control interface other than a hand or chin-operated standard

proportional joystick (for example, head control, sip, and puff, switch control)

Individual requires power tilt or power recline seating system and the system is being used on the

wheelchair

Individual requires MULTIPLE power options

(If checked, mark the following that apply to the individual)

Individual requires a power tilt and recline seating system and the system is being used on the

wheelchair

Individual uses a ventilator which is mounted on wheelchair

Request is for a powered/motorized wheelchair or POV for movement outside the home for an individual who

is capable of ambulating within the home

Request is for a wheelchair or vehicle solely intended for outdoor use

Request is for a device that exceeds the basic device requirements for the individual’s condition or needs

Request is for a backup powered/motorized wheelchair or POV in case the primary device requires repair

Section 2: Specialized Power/Motorized Wheelchairs

Request is for a custompoweredwheelchair, substantially modified for theindividual’s (adult or child)

unique needs because the feature(s) needed are not available on an already manufactured device

(If checked, please describe the individual’s unique needs/and list the wheelchair features needed:

______

Request is for a motorized wheelchair for a child 2 yearsof age or older with severe motor disability

The child’s condition requires a wheelchair and the child is unable to operate a manual wheelchair

The child has demonstrated the ability to safely and effectively operate a motorized wheelchair during a

2 monthtrial period

The child’s 2 month trial period demonstrated the use of the motorized wheelchair enhancedthe

child’s overall development including cognitive abilities, directionality, spatial perception, and social

skills such asindependence,andself-concept

Section 3: Powered Seating Systems

Request is for a power seating system (for example, tilt only, recline only, or combination tilt and recline with

or without power elevating leg rests.

(If checked, complete the power wheelchair section above AND mark the following that apply)

The individual is at high-risk for development of a pressure ulcer and is unable to perform a functional

weight shift

The individual uses intermittent catheterization for bladder management and is unable to independently

transfer from the power wheelchair to bed

The individual requires power seasting system to manage increased tone or spasticity

Other (please describe): ______

Section 4: Repairs or Replacement* of a Powered Motorized Wheelchair or POV

NOTE: A description of the ‘normal wear’ or ‘accidental damage’ condition of the wheelchair must be included with this request.

Request is for repair of a powered/motorized wheelchair or POV due to normal wear

Request is for repair of a powered/motorized wheelchair or POV due to accidental damage

Request is forreplacement of a powered/motorized wheelchair or POV due to normal wear

Request is for replacement of a powered/motorized wheelchair or POV due to accidental damage

Please describe the wheelchair ‘wear/tear’ and/or ‘accidental damage’:

______

Changes in the individual’s condition warrant additional or different equipment.

(The needed equipment or options and documentation of the individual’s changed condition must be provided):

______

Other: (please describe):

Section 5: Home Environment Modifications

Request is for modifications to the structure of the home environment to accommodate the device (for example,

wideningdoors, lowering counters)

This request is being submitted:

Pre-Claim

Post–Claim. If checked, please attach the claim or indicate the claim number

I confirm that the information entered on this form is accurate and complete based on the records available at the time of this request. I understand the health plan or its designees may request medical documentation to verify the accuracy of the information reported on this form.

.

______

Name of Provider or Provider Representative Completing Form* Date

*The attestation fields must be completed by a provider or provider representative in order for the tool to be accepted.

Anthem UM Services, Inc., a separate company, is the licensed utilization review agent that performs utilization management services on behalf of your health benefit plan or the administrator of your health benefit plan.