Choices for Increased Mobility Act of 2024

“(23) Requirement to establish separate HCPCS codes for certain manual wheelchairs

“(A) In general—With respect to ultralightweight manual wheelchairs payable under this subsection furnished on or after January 1, 2025, the Secretary shall establish two or more HCPCS codes, as determined appropriate by the Secretary, for the base of such a wheelchair depending on the construction material used in such base (with one such code that is used to identify such a base with titanium or carbon fiber materials and one code for such a base without such materials).

“(B) Upgrades applicable to certain manual wheelchairs—Notwithstanding paragraph (19), on or after January 1, 2025, an individual may purchase or rent from a supplier an upgraded titanium or carbon fiber manual wheelchair.

“(C) Payment and beneficiary protections

“(i) In general—Notwithstanding paragraph (19), in the case where an individual purchases or rents from a supplier an upgraded titanium or carbon fiber manual wheelchair on or after January 1, 2025, the supplier may charge the individual the difference between the Medicare fee schedule amount for the non-upgraded manual wheelchair and the fair market value for the upgraded manual wheelchair.

“(ii) Beneficiary protections—In order to inform an individual of their potential financial liability under clause (i), the Secretary may require a supplier to issue an advance beneficiary notice under section 1879 to the individual prior to the purchase or rent of an upgraded titanium or carbon fiber manual wheelchair by the individual.”