lookup Detail
Topic | DMEPOS |
Category | General Face to Face Exam/Medical Records |
Code | PMD2E |
Statement | Claim history demonstrates the beneficiary received a similar power mobility device within the past five years. The documentation does not demonstrate a change in medical condition that meets the medical necessity for the requested base. Refer to Medicare Benefit Policy Manual 100-02 Chapter 15, Section 110.2.C & Local Coverage Article A55426. |