Patient Lift documentation needs

The following qualification criteria need to be documented in the patients’ medical record notes to qualify for the prescribed equipment. Note: Justification notes are valid for six months.

All of the following need to be sufficiently documented to support the need for the prescribed equipment.

  • Explain why without the use of a lift, the patient would be bed confined.
  • Explain the patient’s medical need for the lift.

Electric Patients lifts:  Medicare referrals will be processed non-assigned, Dean Health Plan does not cover Electric Patient Lifts

Diagnosis: See LCD (Local coverage determination) at CGSMedicare.com for any additional qualifying information questions, diagnosis codes and descriptions

Medicare-approved detailed equipment descriptions patient lifts and slings

Patient Lift
Patient lift, hydraulic or mechanical (HCPC- E0630) Note: includes and seat, sling, strap or pad
Patient lift, electric (HCPC- E0635) Note: includes and seat, sling, strap or pad
Replacement Slings
sling or seat, patient lift, u sling, (HCPC- E0621)
sling or seat, patient lift, u sling with head rest, (HCPC-E0621)
sling or seat, patient lift, full body, (HCPC-E0621)
sling or seat, patient lift, full body with commode opening, (HCPC-E0621)
sling or seat, patient lift, u sling mesh, (HCPC-E0621)
sling or seat, patient lift, u sling mesh with headrest, (HCPC-E0621)
sling or seat, patient lift, full body mesh, (HCPC-E0621)
sling or seat, patient lift, full body with commode opening mesh, (HCPC-E0621)
sling or seat, patient lift, transfer sling (sit to stand), (HCPC-E0621)
sling or seat, patient lift, standing sling (sit to stand), (HCPC-E0621)

 

Patient notes/justification – Must be documented using your normal dictation process. Letter of medical necessity, notes wrote on letterhead or prescriptions are not valid.

Prescription/order requirements– Must contain Patient’s name, date of the order and Start date, detailed equipment description (See above), signature of the ordering physician and a signature date.

6/18