Effective August 15, 2022, AmeriHealth Administrators, AmeriHealth Insurance Company of New Jersey, and AmeriHealth HMO, Inc. have updated their medical policy on wheelchair cushions and seating.
Face-to-face requirement language has been added for the following HCPCS codes:
- E2613: Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
- E2614: Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
- E2616: Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware
- E2620: Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
- E2621: Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
The following medically necessary criteria have been added to this policy:
- General use cushion for power wheelchairs
- Captain's Chair for power wheelchairs
A policy notification was posted on July 15, 2022.
For more information, view Medical Policy #05.00.55j: Wheelchair Cushions and Seating.