How To Use HCPCS Code E0656

HCPCS code E0656 describes a segmental pneumatic appliance that is used in conjunction with a pneumatic compressor for the trunk. This code is specifically used to identify the supply of an enteral support that is not otherwise classified. It falls under the category of enteral/parenteral nutrients/supplies and is effective for billing purposes starting from April 1995.

1. What is HCPCS E0656?

HCPCS code E0656 is used to identify a segmental pneumatic appliance that is designed to be used with a pneumatic compressor for the trunk. This appliance is typically used in the treatment of various medical conditions that require pneumatic compression therapy. It is important to note that this code specifically refers to the supply of the appliance and not the actual procedure or treatment itself.

2. Official Description

The official description of HCPCS code E0656 is “Segmental pneumatic appliance for use with pneumatic compressor, trunk.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and usage of this specific code.

3. Procedure

1. The provider should first assess the patient’s medical condition and determine if the use of a segmental pneumatic appliance is appropriate for their treatment.
2. If it is determined that the appliance is necessary, the provider should properly fit the appliance to the patient’s trunk area.
3. The provider should then instruct the patient on the proper usage and maintenance of the appliance.
4. The patient should be educated on how to connect the appliance to the pneumatic compressor and how to adjust the pressure settings as needed.
5. Regular follow-up visits should be scheduled to monitor the patient’s progress and make any necessary adjustments to the treatment plan.

4. When to use HCPCS code E0656

HCPCS code E0656 should be used when a segmental pneumatic appliance is provided to a patient for the treatment of a medical condition that requires pneumatic compression therapy. This code is specifically used for enteral support that is not otherwise classified. It is important to ensure that the patient meets the eligibility criteria for this type of treatment and that the use of the appliance is medically necessary.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0656, healthcare providers should ensure that the following documentation requirements are met:

• A detailed description of the patient’s medical condition and the need for pneumatic compression therapy
• Documentation of the fitting and adjustment of the segmental pneumatic appliance
• Instructions provided to the patient on the proper usage and maintenance of the appliance
• Documentation of any follow-up visits and adjustments made to the treatment plan

6. Historical Information and Code Maintenance

HCPCS code E0656 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 falls under the category of other carrier priced, with no multiple pricing indicator code applicable.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may provide coverage for HCPCS code E0656, subject to specific coverage instructions. It is important for healthcare providers to verify coverage with the respective payer and ensure that all necessary documentation is submitted for reimbursement. The pricing of this code is determined by other carriers and is not applicable under a specific pricing methodology.

8. Examples

Here are five examples of when HCPCS code E0656 should be billed:

1. A patient with lymphedema requires segmental pneumatic compression therapy for the trunk area.
2. A patient with chronic venous insufficiency requires the use of a segmental pneumatic appliance for the treatment of their condition.
3. A patient with post-surgical swelling in the trunk area requires pneumatic compression therapy using a segmental pneumatic appliance.
4. A patient with a history of deep vein thrombosis requires ongoing pneumatic compression therapy for the prevention of further complications.
5. A patient with a chronic wound in the trunk area requires pneumatic compression therapy to aid in the healing process.