The Proposed Rule would establish a new regulatory definition of "brace" and include exoskeletons like the ReWalk Personal Exoskeleton (exoskeletons described by Healthcare Common Procedure Coding System code K1007) in this definition. Once finalized, the Medicare benefit category for personal exoskeletons would be clear – the Medicare benefit category for "leg, arm, back, and neck braces" – and payment would be on a lump sum basis. As noted by CMS, "adding the definition of brace in regulation would expedite coverage and payment for newer technology and powered devices, potentially providing faster access to these new healthcare technologies" such as personal exoskeletons, which allow paralyzed patients to stand and walk again in their everyday lives.
ReWalk Chief Executive Officer (CEO), Larry Jasinski, said: "CMS has used this Proposed Rule to identify a path forward to provide this life-changing technology to beneficiaries with SCI. Proposing a clear Medicare benefit pathway for personal exoskeletons eliminates one of the largest barriers preventing Medicare beneficiaries from access to these innovative devices. The inclusion of a policy addressing personal exoskeletons in this Proposed Rule is a significant milestone for the SCI community."
During the 60-day comment period ending on August 29, 2023, interested stakeholders can submit comments and feedback on the proposal prior to its expected finalization in early November. ReWalk looks forward to collaborating with other key stakeholders to provide comments supporting the finalization of a clear benefit category for proposed exoskeletons.
REHACARE.com; Source: ReWalks Robotics