How To Use HCPCS Code E0167

HCPCS code E0167 describes a pail or pan that is specifically designed for use with a commode chair. This code is used for replacement purposes only, indicating that it should be billed when the existing pail or pan needs to be replaced. In this article, we will explore the details of HCPCS code E0167, 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 E0167?

HCPCS code E0167 is used to identify a pail or pan that is used in conjunction with a commode chair. It is important to note that this code is specifically for replacement purposes only. This means that it should be used when the existing pail or pan needs to be replaced due to wear and tear or damage. It is not intended for initial purchase or as an additional accessory.

2. Official Description

The official description of HCPCS code E0167 is “Pail or pan for use with commode chair, replacement only.” This description clearly indicates that this code is used to identify a replacement pail or pan that is designed for use with a commode chair.

3. Procedure

1. Identify the need for a replacement pail or pan for a commode chair.
2. Select a suitable replacement pail or pan that is compatible with the commode chair.
3. Ensure that the replacement pail or pan meets the necessary specifications and requirements.
4. Install the replacement pail or pan securely onto the commode chair.
5. Dispose of the old or damaged pail or pan in accordance with proper waste disposal guidelines.

4. When to use HCPCS code E0167

HCPCS code E0167 should be used when there is a need to replace the pail or pan that is used with a commode chair. This may be due to wear and tear, damage, or any other reason that renders the existing pail or pan unusable. It is important to ensure that the replacement pail or pan is compatible with the specific commode chair being used.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0167, healthcare providers should ensure that the following documentation requirements are met:

• Documentation of the need for a replacement pail or pan for the commode chair.
• Documentation of the specific commode chair being used.
• Documentation of the replacement pail or pan selected and its compatibility with the commode chair.
• Documentation of the disposal of the old or damaged pail or pan.

Providers should follow the appropriate billing guidelines and submit the necessary documentation to support the claim for reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0167 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 E0167 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 that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E0167 should be billed:

1. A patient’s commode chair has a damaged pail that needs to be replaced.
2. A nursing home facility needs to replace the pails in multiple commode chairs due to wear and tear.
3. A home healthcare provider needs to replace the pail in a patient’s commode chair after it becomes unusable.
4. A durable medical equipment supplier receives a request for a replacement pail for a specific model of commode chair.
5. A hospital’s maintenance department replaces the pails in all the commode chairs in a particular ward.