How To Use HCPCS Code E0680

HCPCS code E0680 describes a non-pneumatic compression controller with sequential calibrated gradient pressure. This code is used to identify a specific type of enteral support that is not otherwise classified. It is important for medical coders to understand the meaning and usage of this code in order to accurately document and bill for this service.

1. What is HCPCS E0680?

HCPCS code E0680 is used to identify a non-pneumatic compression controller with sequential calibrated gradient pressure. This device is typically used in the treatment of certain medical conditions that require compression therapy. It is important to note that this code specifically refers to the controller device and not the actual compression garments or sleeves that may be used in conjunction with it.

2. Official Description

The official description of HCPCS code E0680 is “Non-pneumatic compression controller with sequential calibrated gradient pressure.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and nature of the device being identified by this code.

3. Procedure

1. The provider should first assess the patient’s medical condition and determine if the use of a non-pneumatic compression controller is appropriate.
2. If deemed necessary, the provider will then select and apply the appropriate compression garments or sleeves to the patient’s affected area.
3. The non-pneumatic compression controller is then connected to the compression garments or sleeves.
4. The provider will set the sequential calibrated gradient pressure according to the patient’s specific needs and condition.
5. The patient will typically wear the compression garments or sleeves with the non-pneumatic compression controller for a prescribed period of time.
6. The provider may periodically adjust the settings of the controller or make any necessary modifications to ensure optimal treatment.

4. When to use HCPCS code E0680

HCPCS code E0680 should be used when a non-pneumatic compression controller with sequential calibrated gradient pressure is utilized in the treatment of a patient. This code is specifically intended for enteral support that is not otherwise classified. It is important to review any specific coverage instructions or guidelines that may apply to ensure accurate usage of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0680, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the non-pneumatic compression controller. This may include clinical notes, physician orders, and any other relevant documentation. Additionally, providers should 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 E0680 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates, revisions, or terminations since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code E0680 may be eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that this code is priced by other carriers using a methodology that is not specified. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology. It is important for healthcare providers to review the specific coverage policies of each payer to determine the reimbursement and billing requirements for this service.

8. Examples

Here are five examples of when HCPCS code E0680 should be billed:

1. A patient with lymphedema requires the use of a non-pneumatic compression controller with sequential calibrated gradient pressure to manage swelling and improve circulation.
2. An individual with venous insufficiency utilizes a non-pneumatic compression controller with sequential calibrated gradient pressure to prevent the formation of blood clots and promote venous return.
3. A patient recovering from a deep vein thrombosis uses a non-pneumatic compression controller with sequential calibrated gradient pressure as part of their post-thrombotic syndrome treatment plan.
4. An individual with chronic venous ulcers undergoes compression therapy with a non-pneumatic compression controller to facilitate wound healing and reduce edema.
5. A patient with lymphatic malformations requires the use of a non-pneumatic compression controller with sequential calibrated gradient pressure to manage symptoms and improve quality of life.