How To Use HCPCS Code E0747

HCPCS code E0747 describes an osteogenesis stimulator that is used for non-invasive electrical stimulation, specifically for applications other than spinal procedures. This code is used to identify and bill for the use of this device in medical procedures and treatments. In this article, we will explore the details of HCPCS code E0747, 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 E0747?

HCPCS code E0747 is used to identify an osteogenesis stimulator that utilizes electrical stimulation for non-invasive treatment. This code is specifically used for applications other than spinal procedures. It is important to note that this code is not applicable for spinal applications, as there are separate codes available for that purpose.

2. Official Description

The official description of HCPCS code E0747 is “Osteogenesis stimulator, electrical, non-invasive, other than spinal applications.” This description accurately represents the purpose and usage of this code. The short description for this code is “Enteral supp not otherwise c,” which provides a brief summary of the code’s coverage.

3. Procedure

1. Before using HCPCS code E0747, the healthcare provider must determine the appropriate application for the osteogenesis stimulator. This code specifically applies to non-invasive procedures other than spinal applications.
2. The provider will assess the patient’s condition and determine if the use of an osteogenesis stimulator is necessary for their treatment.
3. The provider will then apply the electrical osteogenesis stimulator to the appropriate area of the patient’s body, following the manufacturer’s instructions and guidelines.
4. The stimulator will be used for the prescribed duration and frequency, as determined by the healthcare provider.
5. Throughout the treatment process, the provider will monitor the patient’s progress and make any necessary adjustments to the treatment plan.

4. When to use HCPCS code E0747

HCPCS code E0747 should be used when a healthcare provider is performing a non-invasive electrical osteogenesis stimulation procedure for applications other than spinal treatments. It is important to ensure that the procedure meets the specific criteria outlined in the code description to accurately bill for the service.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0747, healthcare providers must ensure that the necessary documentation is in place to support the use of the osteogenesis stimulator. This may include medical records, treatment plans, and any other relevant documentation that demonstrates the medical necessity of the procedure. Additionally, providers should follow the appropriate billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0747 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 remained unchanged since its inclusion in the coding system.

7. Medicare and Insurance Coverage

HCPCS code E0747 is eligible for coverage by Medicare and other insurance carriers. 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. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions on billing and coverage for this code.

8. Examples

Here are five examples of when HCPCS code E0747 should be billed:

1. A patient with a non-union fracture of the tibia undergoes non-invasive electrical osteogenesis stimulation using an osteogenesis stimulator other than for spinal applications.
2. A patient with delayed bone healing following a surgical procedure receives non-invasive electrical osteogenesis stimulation using an osteogenesis stimulator other than for spinal applications.
3. A patient with a non-healing bone defect undergoes non-invasive electrical osteogenesis stimulation using an osteogenesis stimulator other than for spinal applications.
4. A patient with a non-union fracture of the radius receives non-invasive electrical osteogenesis stimulation using an osteogenesis stimulator other than for spinal applications.
5. A patient with a non-healing bone graft site undergoes non-invasive electrical osteogenesis stimulation using an osteogenesis stimulator other than for spinal applications.