HCPCS E0149: Walker, heavy-duty, wheeled, rigid or folding, any type

Yes, E0149 is covered by Medicare (as DME) if the beneficiary meets all of the following: - They have a medical condition that makes them unable to safely ambulate without an assistive device (meets standard walker coverage criteria). - They require the heavy-duty capacity because their weight is greater than 300 pounds.

No. If the patient weighs 300 pounds or less, E0149 is not medically necessary based on weight criteria. If a heavy-duty walker (E0149) is provided, but the beneficiary does not meet the "over 300 pounds" criteria, coverage will likely be denied or based on the allowance for the least costly medically appropriate alternative (e.g., E0143).

Yes, replacement brakes are billed separately using HCPCS code E0159. However, brakes provided when the walker is initially dispensed are considered included in the reimbursement for E0149 and cannot be billed separately.