How To Use HCPCS Code E0675

HCPCS code E0675 describes a pneumatic compression device that is used for the treatment of arterial insufficiency. This code is specifically for a high-pressure device that utilizes a rapid inflation and deflation cycle. It is designed to provide therapeutic compression to the affected area, promoting blood flow and improving circulation.

1. What is HCPCS E0675?

HCPCS code E0675 is used to identify a specific type of pneumatic compression device that is used for the treatment of arterial insufficiency. This code is specifically for a device that operates at a high pressure and utilizes a rapid inflation and deflation cycle. It is typically used for patients who have arterial insufficiency in either a unilateral or bilateral system.

2. Official Description

The official description of HCPCS code E0675 is “Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system).” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider will first assess the patient’s condition and determine the appropriate treatment plan.
2. The pneumatic compression device will be applied to the affected area, such as the legs or arms.
3. The device will be activated, and the rapid inflation and deflation cycle will begin.
4. The device will apply pressure to the affected area, promoting blood flow and improving circulation.
5. The treatment session will typically last for a specified duration, as determined by the provider.
6. After the treatment session is complete, the device will be removed, and the patient will be monitored for any immediate effects.

4. When to use HCPCS code E0675

HCPCS code E0675 should be used when billing for the use of a pneumatic compression device that operates at a high pressure and utilizes a rapid inflation and deflation cycle. This code is specifically for the treatment of arterial insufficiency in either a unilateral or bilateral system. It is important to ensure that the patient meets the eligibility criteria for this treatment and that the device is used in accordance with the appropriate guidelines.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0675, healthcare providers should ensure that the necessary documentation is in place to support the use of the device and the medical necessity of the treatment. This may include documentation of the patient’s arterial insufficiency diagnosis, the treatment plan, and any other relevant information. Providers should also follow the appropriate billing guidelines and submit the claim with the correct coding and modifiers, if applicable.

6. Historical Information and Code Maintenance

HCPCS code E0675 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 been in use for many years and has remained unchanged since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code E0675 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 that it is not applicable as HCPCS priced under one methodology. Providers should verify the coverage and reimbursement policies of each individual payer to ensure proper billing and reimbursement for this service.

8. Examples

Here are some examples of when HCPCS code E0675 should be billed:

1. A patient with arterial insufficiency in both legs receives treatment using a pneumatic compression device that operates at a high pressure and utilizes a rapid inflation and deflation cycle.
2. A patient with unilateral arterial insufficiency in the arm receives treatment using a pneumatic compression device that operates at a high pressure and utilizes a rapid inflation and deflation cycle.
3. A patient with bilateral arterial insufficiency in the legs receives treatment using a pneumatic compression device that operates at a high pressure and utilizes a rapid inflation and deflation cycle.
4. A patient with arterial insufficiency in one leg and one arm receives treatment using a pneumatic compression device that operates at a high pressure and utilizes a rapid inflation and deflation cycle.
5. A patient with arterial insufficiency in both arms receives treatment using a pneumatic compression device that operates at a high pressure and utilizes a rapid inflation and deflation cycle.