How To Use HCPCS Code E0244

HCPCS code E0244 describes a raised toilet seat. This code is used to identify a specific type of durable medical equipment (DME) that is designed to assist individuals with mobility issues in using the toilet safely and comfortably. In this article, we will explore the details of HCPCS code E0244, 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 E0244?

HCPCS code E0244 is used to identify a raised toilet seat. This DME is designed to be placed on top of a standard toilet seat to increase its height, making it easier for individuals with mobility limitations to sit down and stand up from the toilet. It provides added stability and support, reducing the risk of falls and injuries.

2. Official Description

The official description of HCPCS code E0244 is “Parenteral supply not otherwise classified.” The short description is “Raised toilet seat.” This accurately reflects the purpose and function of the DME.

3. Procedure

1. To use a raised toilet seat (HCPCS code E0244), the healthcare provider or caregiver should first ensure that the existing toilet seat is clean and free from any debris.
2. The raised toilet seat should be placed securely on top of the existing seat, aligning it properly.
3. The individual can then use the raised toilet seat as they would a regular toilet seat, sitting down and standing up with the assistance of the raised height and added stability.
4. After use, the raised toilet seat should be cleaned and disinfected according to the manufacturer’s instructions.

4. When to use HCPCS code E0244

HCPCS code E0244 should be used when a healthcare provider prescribes or recommends a raised toilet seat for a patient with mobility limitations. This may include individuals with disabilities, older adults, or individuals recovering from surgery or injuries that affect their ability to use a standard toilet seat safely.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0244, healthcare providers should ensure that the following documentation requirements are met:

• A prescription or order from a healthcare provider specifying the need for a raised toilet seat.
• Documentation supporting the medical necessity of the DME for the individual patient.
• Proof of delivery or rental agreement, if applicable.

Providers should also follow the appropriate billing guidelines and submit the claim with the correct coding and modifiers as required by the payer.

6. Historical Information and Code Maintenance

HCPCS code E0244 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 E0244 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 E0244 should be billed:

1. An elderly patient with arthritis and limited mobility requires a raised toilet seat to safely use the bathroom.
2. A patient recovering from hip replacement surgery needs a raised toilet seat to assist with sitting and standing during the healing process.
3. An individual with a spinal cord injury requires a raised toilet seat as part of their home modifications to enhance accessibility.
4. A patient with balance issues due to a neurological condition benefits from a raised toilet seat to prevent falls and promote independence.
5. A caregiver requests a raised toilet seat for their loved one with mobility limitations to facilitate safer and more comfortable toileting.