How To Use HCPCS Code E0110

HCPCS code E0110 describes crutches, specifically forearm crutches. These crutches are designed to provide support and stability to individuals who have difficulty walking or maintaining balance. They include crutches made from various materials and can be adjustable or fixed in size. The code represents a pair of complete crutches, including tips and handgrips.

1. What is HCPCS E0110?

HCPCS code E0110 is used to identify forearm crutches. These crutches are different from traditional underarm crutches as they provide support to the forearms rather than the underarms. They are often recommended for individuals who require additional stability and balance while walking or standing. The code E0110 specifically refers to a pair of forearm crutches that are complete with tips and handgrips.

2. Official Description

The official description of HCPCS code E0110 is “Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. When providing forearm crutches to a patient, the healthcare provider should ensure that the crutches are suitable for the individual’s height and weight.
2. The provider should adjust the crutches to the appropriate length, ensuring that the patient’s elbows are slightly bent when holding the handgrips.
3. The patient should be instructed on how to properly use the forearm crutches, including the correct positioning of the handgrips and the placement of weight on the crutches while walking.
4. The provider should also provide tips on maintaining balance and stability while using the crutches.
5. Regular follow-up appointments may be necessary to assess the patient’s progress and make any necessary adjustments to the crutches.

4. When to use HCPCS code E0110

HCPCS code E0110 should be used when providing forearm crutches to patients who require additional support and stability while walking or standing. These crutches are typically recommended for individuals with mobility issues, such as those with injuries, disabilities, or post-surgical recovery. It is important to ensure that the patient meets the eligibility criteria for using forearm crutches and that the crutches are medically necessary for their condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0110, healthcare providers should ensure that the following documentation requirements are met:

• Prescription or order for forearm crutches from a qualified healthcare professional
• Documentation supporting the medical necessity of forearm crutches for the patient’s condition
• Itemized invoice or receipt indicating the provision of a pair of complete forearm crutches

6. Historical Information and Code Maintenance

HCPCS code E0110 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. The code has a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for E0110 is A, indicating that it is not applicable as HCPCS priced under one methodology. The action code N signifies that no maintenance actions have been taken for this code.

7. Medicare and Insurance Coverage

Medicare coverage for HCPCS code E0110 may vary depending on the specific circumstances and the patient’s eligibility. It is important to check with Medicare or other insurance providers to determine coverage and reimbursement policies for forearm crutches. The Medicare Carriers Manual Reference Section Number for this code is 2130, which provides additional guidance on coverage and documentation requirements.

8. Examples

Here are five examples of when HCPCS code E0110 should be billed:

1. A patient with a lower limb fracture requiring forearm crutches for ambulation during the healing process.
2. An individual with a neurological condition that affects their balance and mobility, necessitating the use of forearm crutches for daily activities.
3. A post-surgical patient who needs forearm crutches to assist with weight-bearing and walking during the recovery period.
4. A person with a chronic musculoskeletal condition that causes difficulty in walking, benefiting from forearm crutches for improved stability and mobility.
5. An elderly patient with age-related balance issues who requires forearm crutches to prevent falls and maintain independence.