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Sunrise Medical Quickie P-222 SE Reference Manual
Sunrise Medical Quickie P-222 SE Reference Manual

Sunrise Medical Quickie P-222 SE Reference Manual

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Power Wheelchair Reference Guide
MEDICÅRE – UNLOCK THE MYSTERY
– New Codes
– The LCD - local coverage determination criteria
– ABN - advanced beneficiary notice

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Summary of Contents for Sunrise Medical Quickie P-222 SE

  • Page 1 Power Wheelchair Reference Guide MEDICÅRE – UNLOCK THE MYSTERY – New Codes – The LCD - local coverage determination criteria – ABN - advanced beneficiary notice...
  • Page 2 Local Coverage Determination Algorithm To determine the appropriate group and code a patient will qualify for. (Chart continued on following page) A) The patient has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility related activities of daily living (MRADLs) such as toileting, feeding, dressing, grooming, and bathing in customary locations in the home.
  • Page 3 GROUP 1 GROUP 2 GROUP 3 POV’S (SCOOTERS) Sling/Solid Seat Single Power Multi Power No Power Opt. Single Power Multi Power K0800,K0801,K0802 K0813-K0816 K0823-K0829 K0820-K0822 K0835-K0840 K0841-K0843 K0848-K0855 K0856-K0860 K0861-K0864 NO ON ONE NO ON ONE NO ON ONE NO ON ONE NO ON ONE NO ON ONE NO ON ONE...
  • Page 4 SILVER SILVER SILVER SILVER SILVER SILVER SILVER SILVER Warranty: For detailed warranty information Key of Quickie Suffixes Medicare visit our website: 1st Letter 2nd Letter Best Picks www.sunrisemedical.com B= Basic Rehab Seat A= Group 1 C= Captain’s Seat B= Group 2...
  • Page 5 K-Code K0824 K0825 K0835 K0841 Allowable $4842.70 $4229.60 $4132.30 $4318.60 Multi Power Rehab Seat, HD Captains Seat, HD Rehab Seat, Single Power Option Option Quickie Quickie Quickie Quickie Quickie Quickie Quickie Product Freestyle Freestyle Freestyle Rhapsody P-220 S-525 Freestyle Coming Soon!
  • Page 6 BEST PICK BEST PICK BEST PICK K-Code K0848 K0850 K0856 Allowable $5433.60 $6139.90 $5672.30 Rehab Seat, Std. Weight Cap. Rehab Seat, HD Single Power Option Quickie Zippie Quickie Quickie Quickie Quickie Quickie Quickie Quickie Product Freestyle Z-Bop Rhythm Groove Rhythm...
  • Page 7 GROUP 4 - (Continued on next page) BEST PICK BEST PICK BEST PICK K-Code K0858 K0861 K0868*** Allowable $7037.60 $5681.40 HD Single Power Option Multi Power Option High Activity, No Power Option Quickie Quickie Quickie Quickie Quickie Quickie Quickie Quickie Quickie Product Rhythm Groove Freestyle Rhythm...
  • Page 8 300 lbs • K0800 Portable PWC K-Code K0877*** K0884*** Allowable • K0816 non-portable PWC High Activity, Single Power Option High Activity, Multi Power Option Quickie Quickie Quickie Quickie Quickie Product Rhythm P-222 SE Rhythm S-646 / S-646 SE Groove...
  • Page 9 Attendant control (hypotension, autonomic dysreflexia)? E2377 – Expandable electronics E2331 – Attendant control © 2006 Sunrise Medical Inc. Sunrise Medical, Quickie and Nothing Beats A Quickie are registered trademarks of Sunrise Medical. 102277 Rev. D...