How To Use HCPCS Code E0954

HCPCS code E0954 describes a wheelchair accessory known as a foot box. This code is used to identify the specific item and its associated attachment and mounting hardware. The foot box is designed to provide support and stability for the feet of wheelchair users. It is an essential accessory that enhances the overall functionality and comfort of the wheelchair.

1. What is HCPCS E0954?

HCPCS code E0954 is used to identify a wheelchair accessory called a foot box. This accessory is designed to provide support and stability for the feet of wheelchair users. It includes the necessary attachment and mounting hardware to secure it to the wheelchair. The foot box can be of any type, catering to the specific needs and preferences of the individual.

2. Official Description

The official description of HCPCS code E0954 is “Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. Position the wheelchair in a suitable location, ensuring stability and accessibility for the user.
2. Attach the foot box to the wheelchair using the provided mounting hardware. The attachment method may vary depending on the specific wheelchair model and foot box design.
3. Ensure that the foot box is securely fastened to the wheelchair, providing a stable platform for the user’s feet.
4. Adjust the foot box to the desired height and angle, taking into consideration the user’s comfort and positioning needs.
5. Verify that the foot box is properly aligned with the user’s feet, providing adequate support and preventing any discomfort or strain.

4. When to use HCPCS code E0954

HCPCS code E0954 should be used when a healthcare provider or supplier is providing a foot box as an accessory for a wheelchair. This code is applicable when the foot box is necessary to support and stabilize the feet of the wheelchair user. It is important to note that this code is not intended for other types of enteral support.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0954, healthcare providers should ensure that the following documentation requirements are met:

• Medical records should clearly indicate the need for a foot box as an accessory for the wheelchair.
• Documentation should include the specific type of foot box provided and any customization or adjustments made.
• Proof of delivery and/or purchase should be maintained for auditing purposes.

6. Historical Information and Code Maintenance

HCPCS code E0954 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.

7. Medicare and Insurance Coverage

HCPCS code E0954 is covered by Medicare. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement.

8. Examples

Here are five examples of scenarios where HCPCS code E0954 should be billed:

1. A wheelchair user requires a foot box to provide support and stability for their feet. The healthcare provider attaches the foot box to the wheelchair using the provided mounting hardware.
2. A patient with a specific foot condition needs a customized foot box to accommodate their unique requirements. The healthcare provider orders and installs the appropriate foot box on the wheelchair.
3. An individual with limited mobility relies on a wheelchair for mobility. The healthcare provider assesses the need for a foot box and determines that it is necessary to enhance the user’s comfort and positioning.
4. A wheelchair user experiences discomfort and instability in their feet while using the wheelchair. The healthcare provider recommends and provides a foot box to address these issues.
5. A patient with a recent lower limb injury requires a foot box to support and protect their feet during the healing process. The healthcare provider ensures the proper installation and adjustment of the foot box on the wheelchair.