Myopro is an "Exercise Equipment"
Chris Baschuk
Description
Collection
Title:
Myopro is an "Exercise Equipment"
Creator:
Chris Baschuk
Date:
4/4/2014
Text:
I just received this very disappointing email regarding the Myopro. Medicare has classified it as exercise equipment and it will therefor not be covered. Here is the complete text:
Durable Medical Equipment
MYOPRO™ - CODING REMINDER
Joint DME MAC Article
The MyoPro™ (Myomo, Inc.) is an upper extremity device that incorporates muscle sensors and an electric motor to augment patient-initiated movement.
According to the company’s web site, the MyoPro is “designed to enable individuals to self-initiate and control movements of a partially paralyzed or weakened arm using their own muscle signals. When the user tries to bend their arm, sensors in the brace detect the weak muscle signal, which activates the motor to move the arm in the desired direction.”
Upon evaluation of this product, the DME MACs and the PDAC have determined that:
This item falls within the Durable Medical Equipment benefit category, not within the Braces benefit.
This device must be coded as A9300 – EXERCISE EQUIPMENT
Exercise equipment is non-covered by Medicare. Claims for A9300 will be denied as non-covered (no Medicare benefit).
For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form located on the [ <URL Redacted> PDAC website.
Posted: 4/3/2014
Chris Baschuk, MPO
Prosthetics Resident
Kootenai Prosthetics and Orthotics
Durable Medical Equipment
MYOPRO™ - CODING REMINDER
Joint DME MAC Article
The MyoPro™ (Myomo, Inc.) is an upper extremity device that incorporates muscle sensors and an electric motor to augment patient-initiated movement.
According to the company’s web site, the MyoPro is “designed to enable individuals to self-initiate and control movements of a partially paralyzed or weakened arm using their own muscle signals. When the user tries to bend their arm, sensors in the brace detect the weak muscle signal, which activates the motor to move the arm in the desired direction.”
Upon evaluation of this product, the DME MACs and the PDAC have determined that:
This item falls within the Durable Medical Equipment benefit category, not within the Braces benefit.
This device must be coded as A9300 – EXERCISE EQUIPMENT
Exercise equipment is non-covered by Medicare. Claims for A9300 will be denied as non-covered (no Medicare benefit).
For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form located on the [ <URL Redacted> PDAC website.
Posted: 4/3/2014
Chris Baschuk, MPO
Prosthetics Resident
Kootenai Prosthetics and Orthotics
Citation
Chris Baschuk, “Myopro is an "Exercise Equipment",” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 28, 2024, https://library.drfop.org/items/show/236286.
