How To Use HCPCS Code E0911

HCPCS code E0911 describes a heavy-duty trapeze bar that is attached to a bed and is designed for patients with a weight capacity greater than 250 pounds. This code is used to identify the specific equipment used for patient care and is important for medical coders to accurately document and bill for the services provided.

1. What is HCPCS E0911?

HCPCS code E0911 is used to identify a trapeze bar that is specifically designed for patients with a weight capacity greater than 250 pounds. The trapeze bar is attached to a bed and includes a grab bar for added support. This equipment is commonly used in healthcare settings to assist patients with repositioning themselves in bed, transferring from the bed to a wheelchair, or performing other activities that require upper body strength and stability.

2. Official Description

The official description of HCPCS code E0911 is “Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar.” The short description for this code is “Enteral supp not otherwise c.” This description accurately identifies the specific equipment and its purpose.

3. Procedure

1. Position the bed in a suitable location, ensuring that it is stable and secure.
2. Attach the trapeze bar to the bed frame according to the manufacturer’s instructions.
3. Ensure that the trapeze bar is securely fastened and can support the weight of the patient.
4. Educate the patient on how to use the trapeze bar safely and effectively.
5. Monitor the patient’s use of the trapeze bar and provide assistance as needed.

4. When to use HCPCS code E0911

HCPCS code E0911 should be used when a heavy-duty trapeze bar is provided to a patient with a weight capacity greater than 250 pounds. This code is applicable when the trapeze bar is attached to a bed and includes a grab bar. It is important to accurately document the use of this equipment to ensure proper reimbursement and to provide a detailed record of the patient’s care.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0911, healthcare providers should ensure that the following documentation is included:

• A detailed description of the patient’s condition and the medical necessity for the trapeze bar
• The patient’s weight capacity and any specific requirements for heavy-duty equipment
• The date the trapeze bar was provided and any subsequent adjustments or modifications
• Any additional services or supplies provided in conjunction with the trapeze bar

6. Historical Information and Code Maintenance

HCPCS code E0911 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. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code E0911 is eligible for coverage under Medicare. The pricing indicator code 57 indicates that this code is priced by other carriers. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions on billing for this code.

8. Examples

Here are five examples of when HCPCS code E0911 should be billed:

1. A patient weighing 300 pounds requires a trapeze bar for assistance with repositioning in bed. The trapeze bar is attached to the bed and includes a grab bar for added support.
2. A bariatric patient with a weight capacity of 400 pounds needs a heavy-duty trapeze bar to assist with transfers from the bed to a wheelchair. The trapeze bar is securely attached to the bed frame.
3. An elderly patient with limited upper body strength requires a trapeze bar with a weight capacity greater than 250 pounds. The trapeze bar is attached to the bed and includes a grab bar for added stability.
4. A patient recovering from a spinal cord injury needs a trapeze bar for assistance with upper body exercises. The trapeze bar is attached to the bed and allows the patient to perform strengthening exercises while lying down.
5. A patient with a weight capacity of 275 pounds requires a trapeze bar for assistance with repositioning and transfers. The trapeze bar is securely attached to the bed frame and includes a grab bar for added support.