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Manual Wheelchairs

CMS requires prior authorization for the following manual wheelchair for all states and territories:

  • K0005 (Effective October 28, 2026 Nationwide)

We will base the prior authorization decision on Manual Wheelchair Bases LCD L33788External Website and related Policy Article A52497External Website.

How to Send Your Request

When to Expect the Decision

We will send a detailed decision letter by the fifth business day, not to exceed seven calendar days following receipt of a request.

Expedited requests: If there is a valid need for an expedited review, we will make reasonable efforts to send a decision within two business days.

Deliver Within 6 Months

Prior authorization decisions for the K0005 are valid for 6 months after the provisional affirmation review decision. If the supplier doesn't deliver the K0005 within 6 months of the decision, the supplier needs to send another prior authorization request.

Resources

Updated: 09.09.2026

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