Medicare Call Re Prior Authorization for Certain Group 3 Wheelchairs

March 15, 2017

CMS is holding a Special Open Door Forum call tomorrow, March 16, from 2:00 PM to 3:30 PM ET regarding the new Medicare Prior Authorization (PA) requirement for two CRT Group 3 Power Wheelchair codes.

This PA requirement goes into effect in the states of Illinois, Missouri, New York, and West Virginia for dates of service of March 20 or after.  The PA requirement will expand nationwide in July.

The two codes impacted are K0856 (Group 3 Standard Power Wheelchair with Single Power Option) and K0861 (Group 3 Standard Power Wheelchair with Multi Power Option).

You can find the full announcement with additional call details here.  The dial in number is 1-800-837-1935 and the Conference ID # is 85144406.

The call will be recorded by CMS for later playback.  Details will be posted at the CMS Open Door Forum website.