How To Use HCPCS Code E0760

HCPCS code E0760 describes the use of an osteogenesis stimulator that utilizes low intensity ultrasound to promote bone growth. This non-invasive procedure is used to treat various conditions related to bone healing and regeneration. In this article, we will explore the details of HCPCS code E0760, 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 E0760?

HCPCS code E0760 is used to identify the provision of an osteogenesis stimulator that utilizes low intensity ultrasound. This non-invasive procedure is designed to promote bone growth and aid in the healing process. It is typically used in the treatment of various conditions, such as non-union fractures, delayed union fractures, and certain spinal fusions.

2. Official Description

The official description of HCPCS code E0760 is “Osteogenesis stimulator, low intensity ultrasound, non-invasive.” This accurately reflects the nature of the procedure, highlighting its use of low intensity ultrasound to stimulate bone growth. The short description for this code is “Parenteral supp not othrws c,” indicating that it is not related to other parenteral supplies.

3. Procedure

1. The provider begins by properly positioning the patient and ensuring their comfort.
2. The osteogenesis stimulator device is then applied to the affected area of the patient’s body.
3. The device emits low intensity ultrasound waves, which penetrate the skin and reach the underlying bone.
4. These ultrasound waves stimulate cellular activity and promote bone healing and regeneration.
5. The procedure typically lasts for a specified duration, as determined by the healthcare provider.
6. After the procedure is complete, the device is removed, and the patient is monitored for any immediate adverse reactions or complications.

4. When to use HCPCS code E0760

HCPCS code E0760 should be used when a healthcare provider performs the non-invasive procedure of using an osteogenesis stimulator that utilizes low intensity ultrasound. This code is typically used in cases where bone healing and regeneration are necessary, such as non-union fractures or delayed union fractures. It may also be used for certain spinal fusions.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0760, healthcare providers need to ensure that the necessary documentation is in place. This includes detailed information about the patient’s condition, the medical necessity of the procedure, and the duration of the treatment. Additionally, providers should include any supporting documentation, such as X-rays or diagnostic reports, to justify the use of this code.

6. Historical Information and Code Maintenance

HCPCS code E0760 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 suggests that the code has remained unchanged since its inception.

7. Medicare and Insurance Coverage

HCPCS code E0760 is eligible for coverage under Medicare. The pricing indicator code 57 indicates that this code is priced by other carriers, meaning that the payment amount may vary depending on the specific insurance provider. The multiple pricing indicator code A signifies that this code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E0760 should be billed:

1. A patient with a non-union fracture of the tibia undergoes treatment with an osteogenesis stimulator utilizing low intensity ultrasound.
2. An individual with a delayed union fracture of the humerus receives therapy involving the use of an osteogenesis stimulator.
3. A patient with a non-union fracture of the radius undergoes treatment with a non-invasive osteogenesis stimulator.
4. An individual with a delayed union fracture of the femur receives therapy involving the use of an osteogenesis stimulator utilizing low intensity ultrasound.
5. A patient undergoing a spinal fusion procedure is prescribed an osteogenesis stimulator to aid in bone healing and fusion.