Under most Medicare fee-for-service arrangements, prior authorization is not required, provided coverage criteria are documented and a valid SWO exists prior to delivery. However, requirements may vary for Medicare Advantage or commercial insurers—always verify with the specific payer.

HCPCS E0135: Walker, folding, adjustable or fixed height
Learn more about HCPCS code E0135, its documentation and billing requirements, for proper use and billing from our short guide.
Use Code
Frequently asked questions
If accessories are billed separately, they must be medically necessary, properly documented, and listed individually on the SWO. Convenience or decorative items are not covered
Generally, no. Payers typically cover only one primary mobility-assistive device that meets the patient's need at a time. The medical record would need to support why two distinct devices are medically necessary and used for different purposes.
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