How To Use HCPCS Code E0490

HCPCS code E0490 describes a power source and control electronics unit for an oral device or appliance used for neuromuscular electrical stimulation of the tongue muscle. This code is specifically used to identify the hardware remote-controlled component of the device. In this article, we will explore the details of HCPCS code E0490, 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 E0490?

HCPCS code E0490 is used to identify the power source and control electronics unit for an oral device or appliance that is designed for neuromuscular electrical stimulation of the tongue muscle. This code specifically refers to the hardware remote-controlled component of the device.

2. Official Description

The official description of HCPCS code E0490 is “Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider will first assess the patient’s condition and determine the need for neuromuscular electrical stimulation of the tongue muscle.
2. The oral device or appliance will be fitted and adjusted to the patient’s mouth.
3. The power source and control electronics unit, identified by HCPCS code E0490, will be connected to the oral device or appliance.
4. The hardware remote control will be used to adjust the settings and initiate the neuromuscular electrical stimulation.
5. The patient will be instructed on how to properly use and maintain the oral device or appliance, including the power source and control electronics unit.

4. When to use HCPCS code E0490

HCPCS code E0490 should be used when billing for the power source and control electronics unit of an oral device or appliance used for neuromuscular electrical stimulation of the tongue muscle. This code is specifically for the hardware remote-controlled component of the device.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0490, healthcare providers should ensure that the following documentation is included:

• A detailed description of the oral device or appliance being used
• Documentation supporting the medical necessity of the neuromuscular electrical stimulation of the tongue muscle
• Documentation indicating the need for a hardware remote-controlled power source and control electronics unit

6. Historical Information and Code Maintenance

HCPCS code E0490 was added to the Healthcare Common Procedure Coding System on January 01, 1985. 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 E0490 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 E0490 should be billed:

1. A patient with a neuromuscular disorder requires neuromuscular electrical stimulation of the tongue muscle using an oral device. The power source and control electronics unit, controlled by a hardware remote, is necessary for the treatment.
2. A healthcare provider prescribes an oral device for a patient with sleep apnea. The device includes a power source and control electronics unit that is controlled by a hardware remote.
3. A patient with dysphagia undergoes therapy that includes neuromuscular electrical stimulation of the tongue muscle. The oral device used for the therapy requires a power source and control electronics unit, which is controlled by a hardware remote.
4. A patient with a speech disorder undergoes therapy that involves neuromuscular electrical stimulation of the tongue muscle. The oral device used for the therapy requires a power source and control electronics unit, which is controlled by a hardware remote.
5. A patient with a neurological condition requires neuromuscular electrical stimulation of the tongue muscle to improve swallowing function. The oral device used for the stimulation includes a power source and control electronics unit, controlled by a hardware remote.