How To Use HCPCS Code E0159

HCPCS code E0159 describes a brake attachment for a wheeled walker, specifically a replacement part. This code is used to identify the supply of a brake attachment that is used to enhance the safety and stability of a wheeled walker. In this article, we will explore the details of HCPCS code E0159, 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 E0159?

HCPCS code E0159 is used to identify a brake attachment for a wheeled walker, specifically a replacement part. This code is assigned to a supply that is used to enhance the safety and stability of a wheeled walker. It is important to note that this code specifically refers to the replacement of a brake attachment, rather than the initial provision of a brake attachment.

2. Official Description

The official description of HCPCS code E0159 is “Brake attachment for wheeled walker, replacement, each.” This description accurately represents the purpose and nature of the supply being coded.

3. Procedure

1. Inspect the existing brake attachment on the wheeled walker to determine if it requires replacement.
2. If replacement is necessary, remove the old brake attachment from the wheeled walker.
3. Ensure that the replacement brake attachment is compatible with the specific model and type of wheeled walker.
4. Attach the replacement brake to the designated area on the wheeled walker, following the manufacturer’s instructions.
5. Test the functionality of the replacement brake attachment to ensure proper operation.
6. Provide any necessary instructions or education to the patient or caregiver regarding the use and maintenance of the replacement brake attachment.

4. When to use HCPCS code E0159

HCPCS code E0159 should be used when a healthcare provider is replacing a brake attachment for a wheeled walker. This code is not applicable for the initial provision of a brake attachment or for any other type of supply. It is important to ensure that the replacement brake attachment is medically necessary and meets the specific needs of the patient.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0159, healthcare providers should ensure that the following documentation requirements are met:

• Medical record documentation supporting the need for the replacement brake attachment
• Documentation indicating the specific model and type of wheeled walker
• Documentation of the installation and testing of the replacement brake attachment

Providers should also follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0159 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions to the code since its addition.

7. Medicare and Insurance Coverage

HCPCS code E0159 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that this code is priced by other carriers using their own methodology, rather than being priced by Medicare. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E0159 should be billed:

1. A patient’s wheeled walker brake attachment is damaged and requires replacement.
2. A patient’s wheeled walker brake attachment is worn out and no longer functions properly.
3. A patient’s wheeled walker brake attachment is lost and needs to be replaced.
4. A patient’s wheeled walker brake attachment is recalled by the manufacturer, and a replacement is necessary.
5. A patient’s wheeled walker brake attachment is incompatible with their specific model of wheeled walker, and a replacement that is compatible needs to be provided.