How To Use HCPCS Code E0671

HCPCS code E0671 describes a segmental gradient pressure pneumatic appliance for the full leg. This code is used to identify and bill for the use of this specific medical device in the healthcare industry. In this article, we will explore the details of HCPCS code E0671, 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 E0671?

HCPCS code E0671 is used to identify a segmental gradient pressure pneumatic appliance for the full leg. This medical device is designed to apply pressure to different segments of the leg to improve circulation and reduce swelling. It is commonly used in the treatment of conditions such as lymphedema, venous insufficiency, and deep vein thrombosis.

2. Official Description

The official description of HCPCS code E0671 is “Segmental gradient pressure pneumatic appliance, full leg.” The short description is “Enteral supp not otherwise c.” This description accurately represents the purpose and use of this specific medical device.

3. Procedure

1. Prepare the patient for the application of the segmental gradient pressure pneumatic appliance.
2. Ensure that the appliance is properly sized for the patient’s leg.
3. Apply the appliance to the full leg, ensuring that the pressure is evenly distributed across the different segments.
4. Activate the pneumatic system to initiate the pressure cycles.
5. Monitor the patient during the treatment session to ensure their comfort and safety.
6. Adjust the pressure settings as necessary based on the patient’s response and condition.
7. Remove the appliance after the prescribed treatment duration.

4. When to use HCPCS code E0671

HCPCS code E0671 should be used when a healthcare provider utilizes a segmental gradient pressure pneumatic appliance for the full leg to treat a patient. This code is applicable in cases where the patient’s condition requires the use of this specific medical device to improve circulation and reduce swelling in the leg. It is important to ensure that the patient meets the eligibility criteria for the use of this device and that the treatment is medically necessary.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0671, healthcare providers need to document the medical necessity of the treatment, including the patient’s condition, the prescribed treatment duration, and any relevant clinical notes. It is also important to include the patient’s demographic information, such as their name, date of birth, and insurance information. The billing should be submitted with the appropriate supporting documentation to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0671 was added to the Healthcare Common Procedure Coding System on January 01, 1985. Since its addition, 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 been in use for several years and has remained unchanged in terms of its description and usage.

7. Medicare and Insurance Coverage

HCPCS code E0671 is eligible for coverage by Medicare and other insurance providers. 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. Medicare and insurance providers may have specific guidelines and reimbursement rates for the use of this code, so it is important to verify coverage and reimbursement policies with the respective payers.

8. Examples

Here are five examples of when HCPCS code E0671 should be billed:

1. A patient with lymphedema in their full leg undergoes treatment using a segmental gradient pressure pneumatic appliance.
2. A patient with venous insufficiency in their full leg receives therapy with a segmental gradient pressure pneumatic appliance.
3. A patient recovering from deep vein thrombosis in their full leg utilizes a segmental gradient pressure pneumatic appliance as part of their rehabilitation.
4. A patient with chronic swelling in their full leg due to a medical condition receives regular sessions of treatment using a segmental gradient pressure pneumatic appliance.
5. A patient undergoing post-surgical care for a leg-related procedure is prescribed treatment with a segmental gradient pressure pneumatic appliance to aid in their recovery.