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Motorized Wheelchair K0821

Motorized Wheelchair K0821
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Motorized Wheelchair K0821

20" high Luxurious Leatherette 20" high back recline executive seat Stable 4 post seating system Adjustable length, height and flip-up foot plate Adjustable width, height and flip-up arm rest Mid-wheel drive maneuverability 10" wheel 300 pound capac  View more

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20" high Luxurious Leatherette 20" high back recline executive seat Stable 4 post seating system Adjustable length, height and flip-up foot plate Adjustable width, height and flip-up arm rest Mid-wheel drive maneuverability 10" wheel 300 pound capacity back recline executive seat RELATED ITEMS: Elevated Leg Rest Back Cushion (If prone to ulcers) Seat Cushion (If prone to ulcers) Hospital Bed (Semi-Electric)PAPERWORK NEEDED: Prescription (Rx) Face-To-Face Evaluation Doctor's Progress Notes Title XIX and Physical Therapy Evaluation (If The Primary Insurance Is Medicaid) HCPCS CODE: K0821   INSURANCE REIMBURSEMENT: Purchase:$3,307.70 Onetime PaymentQUALIFYING CRITERIA:  The Prescription (Rx) must be received by the wheelchair supplier within 45 days after completion of the physician's face-to-face examination, and prior to delivery of the power chair. The report of the face-to-face examination shall provide information relating to the following questions:      What is this patient's mobility limitation and how does it interfere with the performance of activities of daily living? Why can't a cane or walker meet this patient's mobility needs in the home? Why can't a manual wheelchair meet this patient's mobility needs in the home? If a power wheelchair is provided, why can't an electric mobility scooter meet this patient's mobility needs in the home? Does this patient have the physical and mental abilities to operate a power wheelchair safely in the home? Is the patient willing and motivated to use a power wheelchair?

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