How To Use HCPCS Code E0651

HCPCS code E0651 describes a pneumatic compressor, segmental home model without calibrated gradient pressure. This code is used to identify a specific type of equipment used for enteral support. In this article, we will explore the details of HCPCS code E0651, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage. We will also provide examples of when this code should be billed.

1. What is HCPCS E0651?

HCPCS code E0651 is used to identify a pneumatic compressor, segmental home model without calibrated gradient pressure. This equipment is typically used for enteral support, which involves providing nutrients or supplements through a feeding tube. It is important to note that this code specifically refers to the home model without calibrated gradient pressure.

2. Official Description

The official description of HCPCS code E0651 is “Pneumatic compressor, segmental home model without calibrated gradient pressure.” The short description is “Enteral supp not otherwise c.”

3. Procedure

1. The provider will set up the pneumatic compressor in the patient’s home.
2. The patient will be instructed on how to use the equipment properly.
3. The pneumatic compressor will be applied to the specific body segment as directed by the healthcare provider.
4. The compressor will generate pressure to aid in the delivery of enteral support.
5. The patient will follow the recommended schedule for using the equipment.

4. When to use HCPCS code E0651

HCPCS code E0651 should be used when a pneumatic compressor, segmental home model without calibrated gradient pressure is utilized for enteral support. This code is specific to the equipment described and should not be used for other types of enteral support devices.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0651, healthcare providers should ensure that the following documentation is included:

• Medical records supporting the need for enteral support
• Documentation of the specific body segment where the pneumatic compressor is applied
• Instructions provided to the patient on the proper use of the equipment
• Any additional relevant documentation supporting the medical necessity of the equipment

6. Historical Information and Code Maintenance

HCPCS code E0651 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 E0651 is covered by 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. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code E0651 should be billed:

1. A patient with a feeding tube requires enteral support using a pneumatic compressor, segmental home model without calibrated gradient pressure.
2. A healthcare provider prescribes the use of a pneumatic compressor, segmental home model without calibrated gradient pressure for a patient with a specific medical condition that necessitates enteral support.
3. A patient is discharged from the hospital and requires ongoing enteral support at home using a pneumatic compressor, segmental home model without calibrated gradient pressure.
4. A healthcare provider determines that a pneumatic compressor, segmental home model without calibrated gradient pressure is the most appropriate equipment for a patient’s enteral support needs.
5. A patient’s medical condition worsens, and the healthcare provider decides to switch to a pneumatic compressor, segmental home model without calibrated gradient pressure for more effective enteral support.