How To Use HCPCS Code E0130

HCPCS code E0130 describes a rigid walker that is adjustable or fixed in height. This code is used to identify a specific type of walker that is designed to provide support and assistance to individuals with mobility issues. In this article, we will explore the details of HCPCS code E0130, 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 E0130?

HCPCS code E0130 is used to identify a rigid walker that is adjustable or fixed in height. This type of walker is commonly used by individuals who require assistance with walking or maintaining balance. It provides stability and support, allowing individuals to move around more easily and safely.

2. Official Description

The official description of HCPCS code E0130 is “Walker, rigid (pickup), adjustable or fixed height.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. When using HCPCS code E0130, the healthcare provider would first assess the patient’s mobility needs and determine if a rigid walker is appropriate.
2. The provider would then select a walker that is adjustable or fixed in height, based on the patient’s specific requirements.
3. The provider would properly fit the walker to the patient, ensuring that it is at the correct height for optimal support and comfort.
4. The patient would be instructed on how to use the walker safely and effectively, including proper hand placement and walking techniques.
5. The provider may also provide additional accessories or modifications to the walker, if necessary, to meet the patient’s individual needs.

4. When to use HCPCS code E0130

HCPCS code E0130 should be used when a healthcare provider prescribes or provides a rigid walker that is adjustable or fixed in height to a patient. This code is typically used for patients who require assistance with walking or maintaining balance due to mobility issues.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0130, healthcare providers need to document the medical necessity of the walker and the specific height adjustment or fixation required. They should also include any additional accessories or modifications provided, if applicable. Proper documentation is essential to support the claim and ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0130 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.

7. Medicare and Insurance Coverage

HCPCS code E0130 is eligible for coverage under Medicare. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should check with individual insurance carriers to determine coverage and reimbursement rates for this code.

8. Examples

Here are five examples of when HCPCS code E0130 should be billed:

1. A 70-year-old patient with osteoarthritis requires a rigid walker with adjustable height to assist with mobility.
2. A 45-year-old patient recovering from a lower limb injury needs a fixed-height rigid walker for support during the rehabilitation process.
3. An 80-year-old patient with balance issues due to a neurological condition is prescribed a rigid walker with adjustable height to improve stability and prevent falls.
4. A 60-year-old patient with a chronic musculoskeletal condition requires a fixed-height rigid walker to aid in walking and reduce strain on the joints.
5. A 55-year-old patient undergoing physical therapy after a stroke needs a rigid walker with adjustable height to regain mobility and independence.