How To Use HCPCS Code E0960

HCPCS code E0960 describes a wheelchair accessory known as a shoulder harness/straps or chest strap, including any type of mounting hardware. This code is used to identify and bill for the provision of these specific wheelchair accessories. In this article, we will explore the details of HCPCS code E0960, including its official description, procedure, when to use it, billing guidelines and documentation requirements, historical information and code maintenance, Medicare and insurance coverage, as well as provide examples of when this code should be billed.

1. What is HCPCS E0960?

HCPCS code E0960 is used to identify a specific wheelchair accessory, namely a shoulder harness/straps or chest strap, along with any necessary mounting hardware. This code is essential for accurately documenting and billing for the provision of these accessories.

2. Official Description

The official description of HCPCS code E0960 is “Wheelchair accessory, shoulder harness/straps or chest strap, including any type of mounting hardware.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. When providing a shoulder harness/straps or chest strap as a wheelchair accessory, ensure that the appropriate size and type are selected based on the patient’s needs and comfort.
2. Properly attach the shoulder harness/straps or chest strap to the wheelchair using the included mounting hardware.
3. Adjust the straps to securely and comfortably hold the patient in the wheelchair, providing the necessary support and stability.
4. Educate the patient or caregiver on how to properly use and adjust the shoulder harness/straps or chest strap for optimal safety and comfort.

4. When to use HCPCS code E0960

HCPCS code E0960 should be used when providing a shoulder harness/straps or chest strap as a wheelchair accessory. This code is applicable when the patient requires additional support and stability while using a wheelchair. It is important to ensure that the patient meets the eligibility criteria for this accessory and that it is medically necessary for their condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0960, healthcare providers should ensure that the following documentation requirements are met:

• Medical records should clearly indicate the need for a shoulder harness/straps or chest strap as a wheelchair accessory.
• Documentation should include the patient’s specific condition or disability that necessitates the use of this accessory.
• The type and size of the shoulder harness/straps or chest strap provided should be documented.
• Any adjustments or modifications made to the accessory should be noted in the medical records.

6. Historical Information and Code Maintenance

HCPCS code E0960 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 since its addition.

7. Medicare and Insurance Coverage

HCPCS code E0960 is covered by Medicare. 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, indicating that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E0960 should be billed:

1. A patient with a spinal cord injury requires a shoulder harness/straps to provide additional support and stability while using a wheelchair.
2. An individual with a neuromuscular disorder needs a chest strap to ensure proper positioning and prevent falls while using a wheelchair.
3. A patient with a degenerative condition requires a shoulder harness/straps to maintain an upright posture and prevent slumping while seated in a wheelchair.
4. An elderly individual with limited upper body strength needs a chest strap to secure them in the wheelchair and prevent accidental falls.
5. A child with a developmental disability requires a shoulder harness/straps to ensure proper positioning and prevent leaning to one side while using a wheelchair.