Manual Wheelchair Payment Changes

Choices for Increased Mobility Act of 2025This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish specific billing codes under Medicare for certain materials used in ultralightweight manual wheelchairs. Specifically, the CMS must establish at least two billing codes for the base of the wheelchair, with at least one code for a base with titanium or carbon fiber construction material and at least one code for a base without these materials. Suppliers receive the same payment under Medicare for these wheelchairs as would otherwise apply, but may bill beneficiaries for any difference between the payment and the actual charge for the wheelchair. The CMS may require suppliers to inform beneficiaries of their potential financial liability in these cases.

1. This bill requires new codes for ultralightweight manual wheelchairs based on their construction materials. 2. Starting January 1, 2026, Medicare will cover payments for ultralightweight manual wheelchairs made with titanium or carbon fiber. 3. Suppliers can charge individuals the difference between Medicare's payment and their actual price for these wheelchairs. 4. The bill mandates that suppliers inform buyers about potential extra costs before they purchase or rent a wheelchair.