How To Use HCPCS Code E0779

HCPCS code E0779 describes the use of an ambulatory infusion pump, which is a mechanical device that is reusable and designed for infusions lasting 8 hours or longer. This code is used to identify the provision of parenteral supplies that are not otherwise classified. In this article, we will explore the details of HCPCS code E0779, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS E0779?

HCPCS code E0779 is used to identify the provision of an ambulatory infusion pump, which is a mechanical device that can be reused. This pump is specifically designed for infusions lasting 8 hours or longer. The code is used to indicate the administration of parenteral supplies that are not otherwise classified under a different code. It is important to note that this code is specific to the mechanical ambulatory infusion pump and does not include other types of infusion pumps.

2. Official Description

The official description of HCPCS code E0779 is “Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater.” The short description for this code is “Parenteral supp not othrws c.” This description accurately reflects the purpose and usage of the code.

3. Procedure

1. Prepare the ambulatory infusion pump for use according to the manufacturer’s instructions.
2. Ensure that the pump is clean and in proper working condition.
3. Connect the appropriate tubing and accessories to the pump.
4. Program the pump with the necessary infusion parameters, including the rate and duration of the infusion.
5. Ensure that the patient’s infusion site is properly prepared and accessible.
6. Initiate the infusion by starting the pump and monitoring the patient’s response.
7. Regularly assess the patient’s condition and adjust the infusion parameters as needed.
8. Monitor the pump throughout the infusion to ensure proper functioning and address any alarms or issues that may arise.
9. Document the details of the infusion, including the start and end times, infusion rate, and any complications or interventions.

4. When to use HCPCS code E0779

HCPCS code E0779 should be used when an ambulatory infusion pump is utilized for infusions lasting 8 hours or longer. This code is applicable when providing parenteral supplies that are not otherwise classified under a different code. It is important to review the specific requirements and guidelines of payers to ensure accurate and appropriate use of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0779, healthcare providers should ensure that the necessary documentation is in place to support the use of the ambulatory infusion pump and the duration of the infusion. This may include documentation of the medical necessity for the infusion, the patient’s condition, the prescribed infusion rate and duration, and any complications or interventions that occurred during the infusion. It is important to follow the specific billing guidelines of payers to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0779 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 updated with any changes or updates to the HCPCS codes to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code E0779 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that the code is priced by other carriers. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology. It is important to review the specific coverage and pricing guidelines of Medicare and other insurance carriers to ensure proper reimbursement for the use of HCPCS code E0779.

8. Examples

Here are five examples of when HCPCS code E0779 should be billed:

1. A patient requires a continuous infusion of parenteral nutrition for 10 hours using an ambulatory infusion pump.
2. A healthcare provider administers a prolonged intravenous antibiotic infusion using an ambulatory infusion pump for a duration of 12 hours.
3. A patient receives a chemotherapy infusion that lasts for 9 hours, delivered through an ambulatory infusion pump.
4. An ambulatory infusion pump is used to administer a pain management infusion that lasts for 8 hours.
5. A patient requires a prolonged intravenous hydration infusion for 14 hours, delivered through an ambulatory infusion pump.