TMPPM 2008 > Texas Medicaid Services > Texas Medicaid (Title XIX) Home Health Services > Benefits

   
 

24.5.26.6 Levels for Custom Manual and Powered Wheelchairs

Level 1 is a basic standard wheelchair (no modifier required).

Level 2 is a custom system with growth potential, including components for posture support (TF [Intermediate Level] modifier required).

Level 3 is a custom system that meets the Level 2 definition with the addition of a molded seating system, tilt and space and reclining capacities (TG [Complex, high level] modifier required).


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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