Funding Information - by Country and Region
CANADA
ALBERTA - The Eclipse, Bentley and Stellar are currently listed with AADL. Click here for assistance in prescribing PDG wheelchairs.
ONTARIO - For some products, prescribers may be able to justify additional ADP funding for manual tilt wheelchairs. Click here for help - Independent Mobility/Adjustability with Ontario's ADP Program This document outlines what information is needed to attain additional funding provided for devices that provide independent mobility and/or ongoing adjustability when funding PDG products in Ontario, Canada.
PDG products are funded by ADP. Click here for a listing of all ADP codes used in prescribing PDG products.
QUEBEC - The Stellar manual-tilt wheelchair is listed under contract with RAMQ. The Eclipse, Bentley and Astrotilt wheelchairs have all been successfully submitted for RAMQ funding under Special Consideration.
USA
US - SADMERC Code Confirmation - These links show the SADMERC documentation letters for PDG wheelchairs.
Astrotilt Manual Tilt-in-space wheelchair - Adult E1161, <15" Rigid E1233, <15" Folding E1234
Astrotilt Jr. Manual Tilt-in-space wheelchair - <15" Rigid E1233, <15" Folding E1234
Bentley Manual Tilt-in-space wheelchair - K-0009. For help in writing your funding justification, click here.
Eclipse 350 and Eclipse 600 Extra-wide wheelchair - E350 is coded K0007, E600 is coded K0009
Fuze T50 - E1161
Fuze T20 -
K0009 Coding
Stellar Manual Tilt-in-space wheelchair - E1161
California Notes
California Fuze T50 Introductory Date Letter
Clinical Note Tables
Stellar Clinical Notes This is a table designed to assist therapists in writing a Letter of Medical Necessity recommending a Stellar Manual Tilt Wheelchair.
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Bentley Clinical Notes (long & short frame) This is a table designed to assist therapists in writing a Letter of Medical Necessity recommending a Bentley Manual Tilt Wheelchair.
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Eclipse Clinical Notes This is a table designed to assist therapists in writing a Letter of Medical Necessity recommending a Eclipse Extra Wide Manual Wheelchair.
Other Useful Funding-related Notes
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MediCare Funding Note (June2004) This document outlines reimbursable amounts for the Bentley, Stellar and Eclipse wheelchair. An example shows how to code a ‘typical Eclipse 600 wheelchair.
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Team Rehab Web Article February 1999 This article outlines justification for a long frame Bentley wheelchair. It is a ‘Case History’ for a ‘high agitation’ client.
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Funding equipment with Ontario's ADP Program This is a table showing all of the relevant ADP codes used when funding PDG products in Ontario, Canada.
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Justify Additional ADP Funding - Independent Mobility/Adjustability with Ontario's ADP Program This document outlines what information is needed to attain additional funding provided for devices that provide independent mobility and/or ongoing adjustability when funding PDG products in Ontario, Canada.
