CMS Public Meeting - Seat Elevation Coding and Reimbursement

Published in Government Relations and Regulatory Assistance on December 07, 2023

Originally posted in NCART News on Nov. 30, 2023

Earlier this month CMS announced preliminary recommendations for coding and pricing of power seat elevation systems. The preliminary decision can be read here.

To recap, the recommendation included a discontinuation of HCPCS code E2300 and, in its place, creating two new HCPCS codes reimbursed at a set fee schedule amount. Those code descriptions are:

  • EXXXX, “Complex Rehabilitative Power Wheelchair Accessory, Power Seat Elevation System, Any Type”
  • EXXXX, “Power Wheelchair Accessory, Power Seat Elevation System, Any Type”

CMS also announced details of a public meeting being held on November 30. This public meeting provides an opportunity for stakeholders to offer further comments related to modifications to the HCPCS code set. The NCART Coding Workgroup, which submitted coding applications in July, reconvened to prepare comments and recommendations on both coding and reimbursement for this technology and will present those during the meeting. Other industry stakeholders are also submitting written comments.

Additional information will be available in the weeks and months ahead. CMS’ final coding, benefit category, and payment decisions are expected to be published on CMS’ HCPCS website in February 2024 and effective April 1, 2024.

Thank you for staying updated and continuing to support efforts to secure appropriate coverage for individuals who utilize this CRT!

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