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Updated Wheelchair Seating Policy: ICD-10 Code No Longer Required

Published in Complex Rehab on October 15, 2025

Dan Fedor

Effective Oct. 1, 2025, Medicare removed the ICD-10 requirement for skin protection and positioning cushions and backs. This has been updated in the wheelchair seating LCD and policy article.

The conditions (narrative) are still required and must be documented in the medical record (ordering practitioner in the chart note or the LMCP (PT/OT) in the wheelchair evaluation, etc.).

To qualify for a skin protection cushion, the patient must have either a past history of, or current, pressure ulcer in the area of contact with the seating surface; absent or impaired sensation in the area of contact with the seating surface; or an inability to carry out a functional weight shift. 

To qualify for a positioning cushion/back, the beneficiary has significant postural asymmetries. 

If you have any questions, reach out to Dan Fedor at dan.fedor@vgm.com or 570-499-8459.

TAGS

  1. billing & reimbursement
  2. complex rehab

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