ROLLATORS
Coverage Guidelines
A standard walker and related accessories are covered if all of the following criteria (1-3) are met:
1. The beneficiary has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility-related activities of daily living (MRADL) in the home.
A mobility limitation is one that:
Prevents the beneficiary from accomplishing the MRADL entirely, or
Places the beneficiary at reasonably determined heightened risk of morbidity or mortality secondary to the attempts to perform the MRADL, or
Prevents the beneficiary from completing the MRADL within a reasonable time frame; and
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2. The beneficiary is able to safely use the walker; and
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3. The functional mobility deficit can be sufficiently resolved with use of a walker.
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** If all of the criteria are not met, the walker will be denied as not reasonable and necessary.
ROLLATORS COVERAGE GUIDELINES
A heavy duty, multiple braking system, variable wheel resistance walker (E0147) is covered for beneficiaries who meet coverage criteria for a standard walker and who are unable to use a standard walker due to a severe neurologic disorder or other condition causing the restricted use of one hand. Obesity, by itself, is not a sufficient reason for an E0147 walker. If an E0147 walker is provided and if the additional coverage criteria are not met, it will be denied as not reasonable and necessary.
