How To Use HCPCS Code E0617

HCPCS code E0617 describes an external defibrillator with integrated electrocardiogram analysis. This code is used to identify a specific type of medical device that is used in emergency situations to analyze a patient’s heart rhythm and deliver a shock if necessary to restore a normal heartbeat. In this article, we will explore the details of HCPCS code E0617, including its official description, procedure, when to use it, billing guidelines, historical information, and coverage by Medicare and insurance providers.

1. What is HCPCS E0617?

HCPCS code E0617 is used to identify an external defibrillator with integrated electrocardiogram analysis. This medical device is designed to monitor a patient’s heart rhythm and provide a life-saving shock if needed. It is an essential tool in emergency situations where a patient’s heart has stopped or is experiencing a life-threatening arrhythmia.

2. Official Description

The official description of HCPCS code E0617 is “External defibrillator with integrated electrocardiogram analysis.” The short description is “Enteral supp not otherwise c.”

3. Procedure

1. The provider positions the external defibrillator pads on the patient’s chest, following the manufacturer’s instructions.
2. The device is turned on, and the integrated electrocardiogram analysis begins to monitor the patient’s heart rhythm.
3. If the device detects a life-threatening arrhythmia, it will prompt the provider to deliver a shock.
4. The provider follows the device’s instructions to deliver the shock, which is intended to restore a normal heartbeat.
5. After the shock is delivered, the device continues to monitor the patient’s heart rhythm and provides further instructions if necessary.

4. When to use HCPCS code E0617

HCPCS code E0617 should be used when an external defibrillator with integrated electrocardiogram analysis is used in a medical procedure. This code is typically used in emergency situations where immediate intervention is required to save a patient’s life. It is important to ensure that the device meets the specific criteria outlined in the code description to accurately report the service.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0617, healthcare providers need to document the use of the external defibrillator with integrated electrocardiogram analysis in the patient’s medical record. This documentation should include the reason for the procedure, the patient’s condition, and any relevant details about the use of the device. Providers should also follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0617 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. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code E0617 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by carriers using other methodologies. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130, 4450 for specific guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code E0617 should be billed:

1. A patient experiences sudden cardiac arrest, and the healthcare provider uses an external defibrillator with integrated electrocardiogram analysis to deliver a life-saving shock.
2. During a cardiac surgery procedure, the surgeon utilizes an external defibrillator with integrated electrocardiogram analysis as a precautionary measure.
3. An emergency medical technician uses an external defibrillator with integrated electrocardiogram analysis to revive a patient who has collapsed due to a heart attack.
4. In a hospital setting, a code blue is called, and the medical team uses an external defibrillator with integrated electrocardiogram analysis to resuscitate a patient.
5. A patient with a known history of arrhythmia is admitted to the emergency department with a life-threatening heart rhythm, and the healthcare provider uses an external defibrillator with integrated electrocardiogram analysis to restore a normal heartbeat.