How To Use HCPCS Code E0240

HCPCS code E0240 describes a bath/shower chair, with or without wheels, of any size. This code is used to identify the specific type of durable medical equipment (DME) that is used to assist individuals with bathing or showering. The chair may or may not have wheels, depending on the patient’s needs and preferences. It is important for medical coders to understand the details and usage of this code to ensure accurate billing and reimbursement.

1. What is HCPCS E0240?

HCPCS code E0240 is used to identify a bath/shower chair, which is a type of DME that provides support and stability for individuals while bathing or showering. This chair is designed to be used in the bathroom and is typically made of durable materials that can withstand water exposure. The chair may have adjustable height settings and may also include features such as armrests and backrests for added comfort.

2. Official Description

The official description of HCPCS code E0240 is “Bath/shower chair, with or without wheels, any size.” This description accurately reflects the purpose and features of the equipment.

3. Procedure

1. Place the bath/shower chair in the desired location within the bathroom.
2. Ensure that the chair is stable and secure before assisting the patient onto it.
3. Assist the patient in sitting down on the chair, ensuring that they are comfortable and properly positioned.
4. Adjust the height of the chair, if necessary, to accommodate the patient’s needs.
5. Provide any additional support or assistance as needed during the bathing or showering process.
6. Once the patient has finished bathing or showering, assist them in safely getting up from the chair.
7. Clean and sanitize the bath/shower chair after each use, following proper infection control protocols.

4. When to use HCPCS code E0240

HCPCS code E0240 should be used when a healthcare provider supplies a bath/shower chair to a patient for use in their home or healthcare facility. This code is typically used for patients who have difficulty standing or maintaining balance while bathing or showering. The chair provides a safe and stable seating option, allowing the patient to maintain their independence and dignity during personal hygiene activities.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0240, healthcare providers should ensure that the following documentation is included:

• A detailed description of the bath/shower chair provided, including any specific features or modifications.
• The date the chair was provided to the patient.
• The patient’s medical record, including any relevant diagnoses or conditions that necessitate the use of the chair.
• Any supporting documentation, such as a prescription or referral from a healthcare provider.

6. Historical Information and Code Maintenance

HCPCS code E0240 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 E0240 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. 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 E0240 should be billed:

1. A patient with mobility limitations due to a musculoskeletal condition requires a bath/shower chair to safely bathe at home.
2. An elderly individual with balance issues needs a bath/shower chair with wheels to easily move between the bathroom and bedroom.
3. A patient recovering from a lower limb injury requires a bath/shower chair to avoid putting weight on the affected limb during bathing.
4. A caregiver provides in-home care for a bedridden patient and needs a bath/shower chair to assist with bathing in the patient’s bed.
5. A healthcare facility purchases multiple bath/shower chairs to accommodate the needs of patients with various mobility limitations.