How To Use HCPCS Code E0749

HCPCS code E0749 describes an osteogenesis stimulator that is surgically implanted and uses electrical stimulation to promote bone growth. This code is used to identify the specific device and procedure involved in the treatment of certain bone conditions. In this article, we will explore the details of HCPCS code E0749, 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 E0749?

HCPCS code E0749 is used to identify an osteogenesis stimulator that is surgically implanted and utilizes electrical stimulation to promote bone growth. This code is specific to the device and procedure involved in the treatment of certain bone conditions. It is important to note that HCPCS codes are used for billing and reporting purposes in the healthcare industry.

2. Official Description

The official description of HCPCS code E0749 is “Osteogenesis stimulator, electrical, surgically implanted.” The short description is “Enteral supp not otherwise c.” This description accurately reflects the nature of the device and its purpose in promoting bone growth through electrical stimulation.

3. Procedure

1. The procedure for HCPCS code E0749 involves the surgical implantation of an osteogenesis stimulator device.
2. The device is typically placed near the affected bone or bones.
3. Once implanted, the device delivers electrical stimulation to the bone, which helps promote bone growth and healing.
4. The specific details of the surgical procedure may vary depending on the patient’s condition and the surgeon’s approach.
5. It is important for healthcare providers to follow the appropriate surgical techniques and guidelines when performing this procedure.

4. When to use HCPCS code E0749

HCPCS code E0749 should be used when an osteogenesis stimulator device is surgically implanted to promote bone growth. This code is typically used in the treatment of certain bone conditions where electrical stimulation has been shown to be beneficial. It is important to review the specific coverage instructions and guidelines for using this code to ensure accurate billing and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0749, healthcare providers need to ensure that the necessary documentation is in place to support the use of the code. This may include medical records, operative reports, and any other relevant documentation that demonstrates the medical necessity of the procedure. It is important to follow the billing guidelines set forth by the payer and provide all required information to facilitate accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0749 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 or revisions to the code since its addition. It is important to stay informed about any changes or updates to HCPCS codes to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code E0749 is subject to special coverage instructions, as indicated by the coverage code D. This means that specific guidelines and criteria may apply when seeking reimbursement for this procedure. The pricing indicator code 57 indicates that this code is priced by other carriers, and the multiple pricing indicator code A indicates that it is not applicable as HCPCS priced under one methodology. It is important to review the Medicare Carriers Manual and consult with insurance providers to understand the coverage and reimbursement policies for HCPCS code E0749.

8. Examples

Here are five examples of when HCPCS code E0749 should be billed:

1. A patient with a nonunion fracture undergoes surgery to implant an osteogenesis stimulator device for bone growth stimulation.
2. A patient with a delayed union fracture undergoes surgery to implant an osteogenesis stimulator device to promote bone healing.
3. A patient with a bone defect receives a surgically implanted osteogenesis stimulator device to aid in bone regeneration.
4. A patient with a nonhealing bone graft undergoes surgery to implant an osteogenesis stimulator device to enhance bone fusion.
5. A patient with a bone nonunion following a previous surgery undergoes surgery to implant an osteogenesis stimulator device for bone growth stimulation.