Walker 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.

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

  1. Explain the patient’s mobility limitation that significantly impairs (HIS or Her) ability to participate in one or more mobility-related activities of daily living (MRADL) in the home.
  2. Explain why the patient is able to safely use a walker.
  3. Explain how the patient’s functional mobility deficit will be sufficiently resolved by the use of a walker.

Heavy Duty walker, document the above information and the following.

  • Document the patient’s weight.  Note: the patient must weigh 300lbs or more to qualify.

Seat for a walker, document the above information and the following

  • Explain why the patient needs a seat for a walker.
    • Example: The patient cannot ambulate from room to room without resting

Standard walker accessories

  • Explain why the patient needs the accessory.

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

Medicare approved detailed equipment descriptions for walkers and attachments
Walker – folding, adjustable youth (4’4″-5’7″), (HCPC) E0135
Walker -folding, adjustable, adult (5’4″-6’6″), (HCPC) E0135
Walker heavy duty folding, without wheels, weight over 300 lbs., (HCPC) E0148
Walker – folding, wheeled, adjustable youth (4’4″-5’7″), (HCPC) E0143
Walker -folding, wheeled, adjustable, adult (5’4″-6’6″), (HCPC) E0143
Walker heavy duty folding, wheeled, weight over 300 lbs. , (HCPC) E0148
Seat attachment for walker, (HCPC) E0156
Walker, folding, adjustable, Hemi (side stepper) , (HCPC) E0135
Platform attachment for walker, (HCPC) E0154
Wheel attachment for walker, (HCPC) E0155

Patient notes/justification – Must be documented using your normal dictation process. Letter of medical necessity, notes wrote on letter head 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.