How To Use HCPCS Code E0155

HCPCS code E0155 describes a specific type of wheel attachment for a rigid pick-up walker. This code is used to identify and bill for the provision of these attachments, which are typically provided in pairs. In this article, we will explore the details of HCPCS code E0155, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS E0155?

HCPCS code E0155 is used to identify a wheel attachment specifically designed for a rigid pick-up walker. This code is used to bill for the provision of these attachments, which are typically provided in pairs. It is important to note that this code is specific to wheel attachments for rigid pick-up walkers and should not be used for other types of walkers or mobility aids.

2. Official Description

The official description of HCPCS code E0155 is “Wheel attachment, rigid pick-up walker, per pair.” This description accurately reflects the purpose and use of this code. The short description for this code is “Enteral supp not otherwise c,” which may seem unrelated to the actual product being described. However, it is important to remember that HCPCS codes are used for a wide range of healthcare products and services, and the short description may not always directly align with the specific item being coded.

3. Procedure

1. Ensure that the patient’s medical record clearly indicates the need for a wheel attachment for a rigid pick-up walker.
2. Select the appropriate HCPCS code E0155 to identify the provision of the wheel attachment.
3. Document the quantity of wheel attachments provided, as they are typically provided in pairs.
4. Include any additional relevant information or documentation required by the payer or insurance company.

4. When to use HCPCS code E0155

HCPCS code E0155 should be used when providing a wheel attachment specifically designed for a rigid pick-up walker. This code is not applicable for other types of walkers or mobility aids. It is important to ensure that the patient’s medical record clearly indicates the need for this specific type of attachment and that it is medically necessary for the patient’s condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0155, healthcare providers should ensure that the patient’s medical record includes documentation supporting the need for the wheel attachment. This may include clinical notes, physician orders, or other relevant documentation. Additionally, providers should include the quantity of wheel attachments provided, as they are typically provided in pairs. It is important to follow the billing guidelines and requirements set forth by the payer or insurance company to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0155 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 HCPCS system.

7. Medicare and Insurance Coverage

HCPCS code E0155 is eligible for coverage under Medicare and other insurance plans. 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. It is important to verify coverage and reimbursement policies with the specific payer or insurance company to ensure accurate billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code E0155 should be billed:

1. A patient with a rigid pick-up walker requires wheel attachments for improved mobility.
2. An elderly individual with limited mobility needs wheel attachments for their rigid pick-up walker to navigate uneven surfaces.
3. A patient recovering from a lower extremity injury requires wheel attachments for their rigid pick-up walker to aid in their rehabilitation.
4. A disabled individual with a rigid pick-up walker requires wheel attachments to enhance their independence and mobility.
5. A patient with a chronic condition that affects their balance and stability needs wheel attachments for their rigid pick-up walker to prevent falls.