How To Use HCPCS Code E0135

HCPCS code E0135 describes a folding walker that is adjustable or fixed in height. This code is used to identify the specific type of walker that is provided to patients who require assistance with mobility. In this article, we will explore the details of HCPCS code E0135, including its official description, procedure, when to use the code, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS E0135?

HCPCS code E0135 is used to identify a folding walker that is adjustable or fixed in height. This code is specifically used for enteral support not otherwise classified. It is important to note that this code is not applicable for other types of walkers or for different purposes. Providers should use this code when billing for the specific type of walker described in the code.

2. Official Description

The official description of HCPCS code E0135 is “Walker, folding (pickup), adjustable or fixed height.” The short description for this code is “Enteral supp not otherwise c.” This description accurately represents the type of walker that is being identified by this code.

3. Procedure

1. When providing a folding walker to a patient, ensure that it is adjustable or fixed in height.
2. Properly fold the walker for easy transportation or storage.
3. Adjust the height of the walker according to the patient’s needs.
4. Instruct the patient on how to use the walker safely and effectively.

It is important to follow the specific procedure outlined in the code description to ensure accurate billing and appropriate provision of the walker to the patient.

4. When to use HCPCS code E0135

HCPCS code E0135 should be used when providing a folding walker that is adjustable or fixed in height to a patient who requires enteral support. This code is not applicable for other types of walkers or for different purposes. Providers should ensure that the patient meets the eligibility criteria for enteral support and that the specific conditions for using this code are met.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0135, healthcare providers need to document the provision of the folding walker and the specific details of the enteral support provided. This documentation should include the patient’s medical necessity for the walker, the height adjustment or fixed height of the walker, and any other relevant information. Providers should also ensure that they follow the appropriate billing guidelines and submit the necessary documentation to support the claim.

6. Historical Information and Code Maintenance

HCPCS code E0135 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. This code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

HCPCS code E0135 is covered by Medicare and other insurance carriers. 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. Providers should verify the coverage and reimbursement policies of Medicare and other insurance carriers to ensure proper billing and reimbursement for the folding walker.

8. Examples

Here are five examples of when HCPCS code E0135 should be billed:

1. A patient with a medical condition that requires enteral support is provided with a folding walker that is adjustable in height.
2. An elderly patient with mobility issues is prescribed a folding walker that is fixed in height for added stability.
3. A patient recovering from a leg injury requires a folding walker that can be easily transported in a car.
4. A patient with a chronic illness that affects their balance and mobility is provided with a folding walker that is adjustable in height.
5. A patient with a disability that affects their ability to walk independently is prescribed a folding walker that is fixed in height for better support.