How To Use HCPCS Code E0953

HCPCS code E0953 describes a wheelchair accessory known as a lateral thigh or knee support. This code is used to identify the specific type of support and includes the fixed mounting hardware. It is important for medical coders to understand the meaning and usage of this code to accurately document and bill for the services provided.

1. What is HCPCS E0953?

HCPCS code E0953 is used to identify a wheelchair accessory that provides lateral thigh or knee support. This support is designed to assist individuals who require additional stability and positioning while using a wheelchair. The code includes the fixed mounting hardware necessary for attaching the support to the wheelchair.

2. Official Description

The official description of HCPCS code E0953 is “Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. Position the individual in the wheelchair according to their specific needs and comfort.
2. Attach the lateral thigh or knee support to the wheelchair using the provided fixed mounting hardware.
3. Adjust the support to the appropriate height and angle to provide optimal stability and positioning for the individual.
4. Ensure that the support is securely fastened to the wheelchair to prevent any movement or instability during use.
5. Instruct the individual on how to properly utilize and adjust the support for their comfort and safety.

4. When to use HCPCS code E0953

HCPCS code E0953 should be used when providing a lateral thigh or knee support as a wheelchair accessory. This code is applicable when the support is necessary to address the individual’s specific needs for stability and positioning while using a wheelchair. It is important to ensure that the support meets the criteria outlined in the code description.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0953, healthcare providers should document the medical necessity for the lateral thigh or knee support. This documentation should include the individual’s condition or disability that requires the support, as well as any specific instructions or adjustments made during the fitting process. It is important to follow the guidelines set forth by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0953 was added to the Healthcare Common Procedure Coding System on January 01, 1985. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important to stay updated with any changes or revisions to the code to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code E0953 is covered by Medicare and other insurance carriers. 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 refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions on billing and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code E0953 should be billed:

1. A patient with a spinal cord injury requires a lateral thigh support to maintain proper alignment and stability while using a wheelchair.
2. An individual with cerebral palsy needs a knee support to prevent their knees from collapsing inward during wheelchair use.
3. A patient with muscular dystrophy requires both lateral thigh and knee supports to provide comprehensive stability and positioning in their wheelchair.
4. An elderly individual with arthritis needs a lateral thigh support to alleviate pressure on their hip joints while using a wheelchair.
5. A child with spina bifida requires a knee support to maintain proper leg positioning and prevent contractures while using a wheelchair.