How To Use HCPCS Code E0642
HCPCS code E0642 describes a standing frame/table system that is mobile and dynamic, suitable for individuals of any size, including pediatric patients. This code is used to identify the specific equipment used for standing support and mobility. In this article, we will explore the details of HCPCS code E0642, 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 E0642?
HCPCS code E0642 is used to identify a standing frame/table system that is mobile and dynamic, designed to provide support for individuals who require assistance with standing. This equipment is suitable for patients of any size, including pediatric patients. It allows for mobility and helps improve posture and weight-bearing abilities.
2. Official Description
The official description of HCPCS code E0642 is “Standing frame/table system, mobile (dynamic stander), any size including pediatric.” The short description for this code is “Parenteral supp not othrws c.”
3. Procedure
- The provider should assess the patient’s needs and determine if a standing frame/table system is appropriate for their condition.
- Select the appropriate size of the standing frame/table system based on the patient’s measurements and requirements.
- Ensure that the standing frame/table system is mobile and dynamic, allowing for easy movement and adjustment.
- Instruct the patient or caregiver on the proper use and adjustment of the standing frame/table system.
- Regularly monitor the patient’s progress and make any necessary adjustments to the standing frame/table system.
4. When to use HCPCS code E0642
HCPCS code E0642 should be used when providing a standing frame/table system that is mobile and dynamic to patients who require assistance with standing. This code is applicable for individuals of any size, including pediatric patients. It is important to ensure that the patient meets the eligibility criteria for this equipment and that it is medically necessary for their condition.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E0642, healthcare providers should ensure that the following documentation requirements are met:
- A detailed description of the standing frame/table system provided, including the size and specifications.
- Documentation supporting the medical necessity of the equipment for the patient’s condition.
- Date of service and duration of use.
- Any additional services or supplies provided in conjunction with the standing frame/table system.
6. Historical Information and Code Maintenance
HCPCS code E0642 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
Medicare and insurance coverage for HCPCS code E0642 may vary. It is important to check with the specific payer for their coverage policies and guidelines. 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 some examples of when HCPCS code E0642 should be billed:
- A 10-year-old child with cerebral palsy requires a mobile standing frame/table system to improve their posture and weight-bearing abilities.
- An adult patient with spinal cord injury needs a dynamic stander to assist with standing and mobility.
- A pediatric patient with muscular dystrophy requires a standing frame/table system to prevent contractures and maintain bone density.
- A patient with multiple sclerosis needs a mobile standing frame/table system to improve circulation and prevent pressure sores.
- An elderly individual with osteoporosis requires a dynamic stander to maintain muscle strength and balance.
