How To Use HCPCS Code E0190

HCPCS code E0190 describes a positioning cushion, pillow, or wedge that can be of any shape or size. This code includes all the necessary components and accessories for proper use. It falls under the category of parenteral supplies, which are substances or equipment used for administering nutrients or medications directly into the body.

1. What is HCPCS E0190?

HCPCS code E0190 is used to identify a positioning cushion, pillow, or wedge that is utilized for providing support and comfort to patients in various healthcare settings. These cushions are designed to assist in maintaining proper body alignment, relieving pressure points, and promoting overall patient comfort.

2. Official Description

The official description of HCPCS code E0190 is “Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. Place the positioning cushion, pillow, or wedge in the desired location to provide support and comfort to the patient.
2. Ensure that the cushion is properly positioned to maintain proper body alignment and relieve pressure points.
3. Secure any accessories or components that are included with the cushion to ensure proper functionality.
4. Monitor the patient’s comfort and adjust the positioning cushion as needed.

4. When to use HCPCS code E0190

HCPCS code E0190 should be used when a healthcare provider utilizes a positioning cushion, pillow, or wedge to support and provide comfort to a patient. This code is applicable in various healthcare settings, including hospitals, nursing homes, and home healthcare.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0190, healthcare providers need to ensure that the following documentation requirements are met:

• Medical records should include the reason for using the positioning cushion, pillow, or wedge.
• Documentation should specify the type, shape, and size of the positioning cushion.
• Any additional components or accessories included with the cushion should be documented.
• Providers should maintain records of the duration and frequency of use.

6. Historical Information and Code Maintenance

HCPCS code E0190 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. No maintenance actions have been 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 E0190 is eligible for coverage under Medicare. 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 E0190 should be billed:

1. A patient with limited mobility requires a positioning cushion to alleviate pressure on specific areas of the body.
2. A post-operative patient needs a wedge pillow to elevate their legs and promote proper circulation.
3. A patient with a spinal injury requires a specialized positioning cushion to maintain proper alignment and prevent further complications.
4. An elderly patient with arthritis benefits from a cushion that provides support and reduces joint pain while sitting or lying down.
5. A patient with respiratory issues requires a specific pillow to elevate their upper body and improve breathing during sleep.