How To Use HCPCS Code E0982

HCPCS code E0982 describes a wheelchair accessory, specifically the back upholstery, which is used as a replacement. This code is used to identify the specific item that is being provided, allowing for accurate billing and reimbursement. In this article, we will explore the details of HCPCS code E0982, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS E0982?

HCPCS code E0982 is used to identify a wheelchair accessory, specifically the back upholstery, which is provided as a replacement. This code is essential for accurately documenting and billing for this specific item. It allows healthcare providers and insurance companies to track the utilization and cost of wheelchair accessories.

2. Official Description

The official description of HCPCS code E0982 is “Wheelchair accessory, back upholstery, replacement only, each.” This description clearly indicates that this code is specifically for the replacement of the back upholstery of a wheelchair. The short description for this code is “Enteral supp not otherwise c,” which further emphasizes that this code is related to enteral supplies.

3. Procedure

1. Ensure that the existing back upholstery of the wheelchair needs replacement.
2. Remove the old back upholstery from the wheelchair.
3. Select the appropriate replacement back upholstery based on the patient’s needs and preferences.
4. Install the new back upholstery onto the wheelchair, following the manufacturer’s instructions.
5. Ensure that the replacement back upholstery is securely attached and provides adequate support for the patient.

4. When to use HCPCS code E0982

HCPCS code E0982 should be used when the existing back upholstery of a wheelchair needs to be replaced. It is important to note that this code is only applicable for replacement purposes and not for the initial provision of back upholstery. Healthcare providers should ensure that the replacement is necessary and meets the patient’s specific needs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0982, healthcare providers need to ensure that the following documentation requirements are met:

• Medical records should clearly indicate the need for the replacement of the back upholstery.
• Documentation should include the specific wheelchair model and the reason for the replacement.
• Providers should maintain records of the date of replacement and any relevant patient information.

Billing should be done according to the specific guidelines provided by the insurance company or Medicare. It is important to accurately code and document the replacement of the back upholstery to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0982 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. The code has not undergone any maintenance actions, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code E0982 is covered by Medicare and other insurance providers. The pricing indicator code 57 indicates that the code is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology.

It is important for healthcare providers to verify coverage and reimbursement policies with the specific insurance company or Medicare to ensure proper billing and reimbursement for the replacement of back upholstery using HCPCS code E0982.

8. Examples

Here are five examples of when HCPCS code E0982 should be billed:

1. A patient’s wheelchair back upholstery is worn out and needs replacement due to normal wear and tear.
2. A patient requires a different type of back upholstery to accommodate their changing medical condition.
3. The existing back upholstery of a wheelchair is damaged and cannot be repaired.
4. A patient’s wheelchair is being upgraded, and the replacement back upholstery is part of the new model.
5. A patient’s wheelchair back upholstery is causing discomfort or pressure sores, necessitating a replacement with a more suitable option.