How To Use HCPCS Code E0143

HCPCS code E0143 describes a specific type of walker that is folding, wheeled, and adjustable or fixed height. This code is used to identify the supply of a walker for individuals who require assistance with mobility. In this article, we will explore the details of HCPCS code E0143, 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 E0143?

HCPCS code E0143 is used to identify a specific type of walker. It is a folding, wheeled walker that can be adjusted to different heights or fixed at a specific height. This code is used to indicate the provision of a walker for individuals who require assistance with mobility.

2. Official Description

The official description of HCPCS code E0143 is “Walker, folding, wheeled, adjustable or fixed height.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. Ensure that the walker is folding and has wheels for easy maneuverability.
2. Adjust the height of the walker according to the individual’s needs or fix it at a specific height.
3. Instruct the individual on how to properly use the walker for support and mobility.
4. Provide any necessary accessories or attachments, such as hand grips or baskets, if applicable.

4. When to use HCPCS code E0143

HCPCS code E0143 should be used when providing a folding, wheeled walker that is adjustable or fixed height to individuals who require assistance with mobility. This code is typically used for patients who have difficulty walking or maintaining balance and need the support of a walker to move around.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0143, healthcare providers should ensure that the following documentation requirements are met:

• Medical necessity for the walker
• Prescription or order from a qualified healthcare professional
• Proof of delivery
• Any additional documentation required by the payer

6. Historical Information and Code Maintenance

HCPCS code E0143 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 E0143 is covered by Medicare and other insurance providers. 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.

8. Examples

Here are five examples of when HCPCS code E0143 should be billed:

1. A 75-year-old patient with osteoarthritis requires a folding, wheeled walker with adjustable height to assist with mobility.
2. A 60-year-old patient recovering from hip replacement surgery needs a folding, wheeled walker with fixed height for support during rehabilitation.
3. A 45-year-old patient with multiple sclerosis experiences difficulty walking and requires a folding, wheeled walker with adjustable height for improved mobility.
4. An 80-year-old patient with balance issues due to aging needs a folding, wheeled walker with fixed height to prevent falls.
5. A 55-year-old patient with a lower limb injury requires a folding, wheeled walker with adjustable height to aid in recovery and rehabilitation.