How To Use HCPCS Code E0765
HCPCS code E0765 describes a FDA approved nerve stimulator, with replaceable batteries, specifically designed for the treatment of nausea and vomiting. This code falls under the category of enteral supplies not otherwise classified. In this article, we will explore the details of HCPCS code E0765, 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 E0765?
HCPCS code E0765 is used to identify a FDA approved nerve stimulator, with replaceable batteries, that is specifically designed for the treatment of nausea and vomiting. This code is used to classify and bill for this particular medical device.
2. Official Description
The official description of HCPCS code E0765 is “FDA approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting.” The short description for this code is “Enteral supp not otherwise c.”
3. Procedure
- The provider will assess the patient’s condition and determine if the use of a nerve stimulator is appropriate for the treatment of their nausea and vomiting.
- If the provider determines that the nerve stimulator is necessary, they will select a FDA approved device with replaceable batteries.
- The provider will then educate the patient on the proper use of the nerve stimulator and provide any necessary instructions for its use.
- The patient will be responsible for using the nerve stimulator as directed by the provider to alleviate their symptoms of nausea and vomiting.
- The provider may periodically evaluate the patient’s progress and adjust the treatment plan as needed.
4. When to use HCPCS code E0765
HCPCS code E0765 should be used when a FDA approved nerve stimulator, with replaceable batteries, is being used for the treatment of nausea and vomiting. It is important to ensure that the device meets the specific criteria outlined in the code description.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E0765, healthcare providers should ensure that the following documentation is included:
- A detailed description of the patient’s symptoms and medical condition necessitating the use of the nerve stimulator
- Documentation of the provider’s assessment and determination of the appropriateness of the device
- Documentation of the patient education provided regarding the use of the nerve stimulator
- Any additional relevant documentation supporting the medical necessity of the device
6. Historical Information and Code Maintenance
HCPCS code E0765 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.
7. Medicare and Insurance Coverage
HCPCS code E0765 is covered by Medicare. 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 verify coverage and reimbursement policies with individual insurance carriers.
8. Examples
Here are five examples of when HCPCS code E0765 should be billed:
- A patient with chronic nausea and vomiting due to a medical condition is prescribed a FDA approved nerve stimulator for symptom management.
- A pregnant patient experiencing severe morning sickness is recommended a nerve stimulator to alleviate their symptoms.
- A patient undergoing chemotherapy experiences frequent episodes of nausea and vomiting and is prescribed a nerve stimulator as part of their treatment plan.
- A patient with a history of motion sickness is provided with a nerve stimulator to use during travel to prevent nausea and vomiting.
- A patient with a gastrointestinal disorder is prescribed a nerve stimulator to help control their symptoms of nausea and vomiting.
