How To Use HCPCS Code E0948

HCPCS code E0948 describes a fracture frame with attachments for complex cervical traction. This code is used to identify a specific medical device that is used in the treatment of fractures and injuries to the cervical spine. In this article, we will explore the details of HCPCS code E0948, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS E0948?

HCPCS code E0948 is used to identify a fracture frame with attachments for complex cervical traction. This code is specific to a medical device that is designed to provide support and traction to the cervical spine in cases of fractures or other injuries. It is important to note that this code is not applicable for other types of traction devices or for traction in other areas of the body.

2. Official Description

The official description of HCPCS code E0948 is “Fracture frame, attachments for complex cervical traction.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and usage of the medical device associated with this code.

3. Procedure

1. The provider will first assess the patient’s condition and determine the need for complex cervical traction.
2. The fracture frame, along with its attachments, will be assembled and prepared for use.
3. The provider will carefully position the patient and secure them to the fracture frame.
4. The attachments for complex cervical traction will be connected to the fracture frame and adjusted according to the patient’s specific needs.
5. The provider will monitor the patient closely during the traction procedure to ensure its effectiveness and safety.
6. After the desired duration of traction, the provider will carefully remove the patient from the fracture frame and ensure their comfort and stability.

4. When to use HCPCS code E0948

HCPCS code E0948 should be used when a patient requires complex cervical traction using a fracture frame and its attachments. This code is specific to the treatment of fractures and injuries to the cervical spine. It is important to review the documentation and guidelines provided by the payer to ensure proper usage of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0948, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the treatment. This may include the patient’s medical history, imaging studies, and any other relevant clinical information. Additionally, providers should follow the billing guidelines provided by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0948 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 since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code E0948 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that this code is priced by other carriers using their own methodology. The multiple pricing indicator code A signifies that this code is not applicable for pricing under a single methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific coverage instructions and reimbursement guidelines.

8. Examples

Here are five examples of when HCPCS code E0948 should be billed:

1. A patient presents with a cervical spine fracture and requires complex cervical traction using a fracture frame and its attachments.
2. A patient sustains a severe injury to the cervical spine and requires immobilization and traction using a fracture frame.
3. A patient undergoes surgery for a cervical spine fracture and requires postoperative traction using a fracture frame and its attachments.
4. A patient with a history of cervical spine fractures experiences a recurrence and requires complex cervical traction for stabilization and pain management.
5. A patient with a cervical spine injury due to a motor vehicle accident requires complex cervical traction using a fracture frame as part of their comprehensive treatment plan.