HCPCS code E0112 describes crutches underarm, made of wood, that are adjustable or fixed. This code is used to identify a pair of crutches that come with pads, tips, and handgrips. In this article, we will explore the details of HCPCS code E0112, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.
1. What is HCPCS E0112?
HCPCS code E0112 is used to identify underarm crutches made of wood that are adjustable or fixed. These crutches are provided in pairs and come with pads, tips, and handgrips. They are commonly used to assist individuals with mobility issues in walking or moving around.
2. Official Description
The official description of HCPCS code E0112 is “Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips.” The short description for this code is “Parenteral supp not othrws c.”
3. Procedure
- When providing crutches to a patient, ensure that they are made of wood and are either adjustable or fixed.
- Provide the patient with a pair of crutches, including pads, tips, and handgrips.
- Adjust the crutches to the appropriate height for the patient, ensuring that they provide proper support and stability.
- Instruct the patient on how to use the crutches correctly, including proper weight distribution and walking techniques.
4. When to use HCPCS code E0112
HCPCS code E0112 should be used when providing underarm crutches made of wood to a patient. These crutches are suitable for individuals who require assistance with walking or mobility due to an injury, surgery, or other medical conditions. It is important to ensure that the patient meets the eligibility criteria for using this code, as determined by the healthcare provider.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E0112, healthcare providers need to document the provision of underarm crutches made of wood, whether they are adjustable or fixed. The documentation should include details such as the patient’s medical condition or reason for needing the crutches, the date of provision, and any specific instructions provided to the patient regarding their use.
6. Historical Information and Code Maintenance
HCPCS code E0112 was added to the Healthcare Common Procedure Coding System on January 01, 1985. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It has a pricing indicator code of 57, which indicates that it is priced by other carriers. The code is categorized under type of service code E, which represents enteral/parenteral nutrients/supplies.
7. Medicare and Insurance Coverage
HCPCS code E0112 may be eligible for coverage by Medicare and other insurance providers. The specific coverage instructions may vary, and it is important to refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance. The code is not applicable for maintenance, as indicated by the action code N. The pricing of this code is determined by other carriers, and it is not applicable under one pricing methodology.
8. Examples
Here are five examples of when HCPCS code E0112 should be billed:
- A patient undergoes knee surgery and requires underarm crutches made of wood for post-operative mobility.
- An individual sustains a leg injury and needs assistance with walking while the injury heals.
- A person with a chronic condition that affects their mobility requires underarm crutches for daily use.
- A patient is recovering from a hip replacement surgery and needs underarm crutches to aid in walking during the rehabilitation process.
- An elderly individual with balance issues requires underarm crutches to prevent falls and provide stability while walking.
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