How To Use HCPCS Code E0980

HCPCS code E0980 describes a safety vest for a wheelchair. This code is used to identify the specific supply that is provided to ensure the safety and security of individuals using a wheelchair. In this article, we will explore the details of HCPCS code E0980, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS E0980?

HCPCS code E0980 is used to identify a safety vest designed specifically for wheelchairs. This vest is intended to provide additional support and protection for individuals using a wheelchair, ensuring their safety during transportation or other activities. It is important to note that this code specifically refers to the safety vest and not other types of wheelchair accessories or supplies.

2. Official Description

The official description of HCPCS code E0980 is “Safety vest, wheelchair.” This accurately describes the purpose and nature of the supply. The short description for this code is “Parenteral supp not othrws c,” which provides additional information about the specific use of the safety vest.

3. Procedure

  1. Ensure that the individual is seated comfortably in the wheelchair.
  2. Select the appropriate size of the safety vest based on the individual’s measurements.

4. When to use HCPCS code E0980

HCPCS code E0980 should be used when providing a safety vest specifically designed for wheelchairs. This code is applicable when the safety vest is necessary to ensure the safety and security of individuals using a wheelchair during transportation or other activities. It is important to follow any specific eligibility criteria or guidelines provided by payers or insurance companies when using this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0980, healthcare providers should ensure that the following documentation requirements are met:

  • Include a detailed description of the safety vest provided, including the brand, model, and size.
  • Document the medical necessity of the safety vest and the specific reasons why it is required for the individual.
  • Include any supporting documentation, such as physician orders or prescriptions, that justify the need for the safety vest.

6. Historical Information and Code Maintenance

HCPCS code E0980 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 suggests that the code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code E0980 may vary. It is important to consult the Medicare Carriers Manual or specific insurance guidelines to determine the coverage and reimbursement policies for this code. The pricing indicator code for E0980 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 E0980 should be billed:

  1. A patient with limited mobility requires a safety vest for their wheelchair to ensure their stability and prevent falls during transportation.
  2. An individual with a medical condition that affects their balance and coordination needs a safety vest to provide additional support and security while using a wheelchair.
  3. A wheelchair-bound patient with a history of seizures requires a safety vest to prevent injury during episodes.
  4. A child with developmental disabilities uses a wheelchair and requires a safety vest to ensure their safety during school transportation.
  5. An elderly individual with frailty and a risk of falls uses a wheelchair and needs a safety vest to provide added stability and protection.

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