How To Use HCPCS Code E0105

HCPCS code E0105 describes a cane, specifically a quad or three prong cane, that includes canes made of all materials. This code is used to identify canes that are adjustable or fixed, and come with tips. It was added to the Healthcare Common Procedure Coding System on January 01, 1985, and has been in use since then. The code is categorized under the type of service code E, which stands for enteral/parenteral nutrients/supplies.

1. What is HCPCS E0105?

HCPCS code E0105 is used to identify a specific type of cane, namely a quad or three prong cane. This code encompasses canes made of various materials and can be either adjustable or fixed. The canes included in this code also come with tips. It is important to note that this code is not applicable for other types of canes that do not meet the specified criteria.

2. Official Description

The official description of HCPCS code E0105 is “Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. When providing a cane to a patient, ensure that it meets the specifications outlined in the code description. The cane should have either quad or three prongs, and it should be adjustable or fixed.
2. Verify that the cane is made of appropriate materials and includes tips.
3. Adjust the cane, if applicable, to the appropriate height for the patient.
4. Provide instructions to the patient on how to properly use and maintain the cane.

4. When to use HCPCS code E0105

HCPCS code E0105 should be used when providing a quad or three prong cane to a patient. This code is specifically for canes that are adjustable or fixed, made of various materials, and include tips. It is important to ensure that the cane meets all the specified criteria before using this code for billing purposes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0105, healthcare providers should ensure that the necessary documentation is in place. This may include:

• A prescription or order from a qualified healthcare professional.
• Documentation of medical necessity, indicating why the patient requires a quad or three prong cane.
• Proof of delivery or dispensing of the cane to the patient.

Providers should also follow the appropriate billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical information and Code Maintenance

HCPCS code E0105 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. The code is priced by other carriers, as indicated by the pricing indicator code 57. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. The Medicare Carriers Manual Reference Section Number for this code is 2130.

7. Medicare and Insurance Coverage

HCPCS code E0105 is eligible for coverage under Medicare. However, it is important to verify coverage with the specific insurance carrier as coverage policies may vary. The pricing of this code is determined by other carriers, and it is not applicable under one specific methodology.

8. Examples

Here are some examples of scenarios where HCPCS code E0105 may be billed:

1. A patient with mobility issues due to a medical condition requires a quad cane for assistance with walking. The cane provided is adjustable and made of aluminum with tips. HCPCS code E0105 would be used to bill for this cane.
2. A patient recovering from a lower limb injury needs a three prong cane to aid in their mobility. The cane provided is fixed and made of wood with tips. HCPCS code E0105 would be used to bill for this cane.
3. A healthcare provider prescribes a quad cane for a patient with balance issues. The cane provided is adjustable and made of carbon fiber with tips. HCPCS code E0105 would be used to bill for this cane.
4. A patient with a chronic condition requires a three prong cane for stability while walking. The cane provided is fixed and made of steel with tips. HCPCS code E0105 would be used to bill for this cane.
5. A quad cane is prescribed for a patient with a temporary mobility limitation. The cane provided is adjustable and made of plastic with tips. HCPCS code E0105 would be used to bill for this cane.