How To Use HCPCS Code E0985

HCPCS code E0985 describes a wheelchair accessory known as a seat lift mechanism. This code is used to identify the specific equipment used to lift and lower the seat of a wheelchair, providing additional support and mobility for individuals with limited mobility. In this article, we will explore the details of HCPCS code E0985, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS E0985?

HCPCS code E0985 is used to identify a wheelchair accessory known as a seat lift mechanism. This mechanism allows the seat of a wheelchair to be raised or lowered, providing enhanced support and mobility for individuals with limited mobility. It is an essential component for individuals who may have difficulty standing up or sitting down independently.

2. Official Description

The official description of HCPCS code E0985 is “Wheelchair accessory, seat lift mechanism.” The short description is “Enteral supp not otherwise c.”

3. Procedure

1. Ensure that the wheelchair is compatible with a seat lift mechanism.
2. Attach the seat lift mechanism to the wheelchair according to the manufacturer’s instructions.
3. Test the functionality of the seat lift mechanism to ensure it raises and lowers smoothly.
4. Instruct the individual on how to operate the seat lift mechanism safely.

4. When to use HCPCS code E0985

HCPCS code E0985 should be used when a healthcare provider or supplier is providing a seat lift mechanism as an accessory to a wheelchair. It is typically used for individuals who have difficulty standing up or sitting down independently and require the assistance of a seat lift mechanism to improve their mobility and independence.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0985, healthcare providers need to ensure that the following documentation is included:

• A detailed description of the seat lift mechanism provided
• Documentation supporting the medical necessity of the seat lift mechanism
• Any relevant clinical notes or reports

Providers should also follow the specific billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0985 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.

7. Medicare and Insurance Coverage

HCPCS code E0985 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A signifies that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E0985 should be billed:

1. A patient with a spinal cord injury requires a seat lift mechanism to assist with transferring in and out of a wheelchair.
2. An elderly individual with limited mobility needs a seat lift mechanism to safely and comfortably sit and stand from a wheelchair.
3. A patient with a neuromuscular disorder requires a seat lift mechanism to maintain independence and mobility.
4. An individual recovering from a lower limb surgery needs a seat lift mechanism to aid in the rehabilitation process.
5. A person with a degenerative joint disease requires a seat lift mechanism to alleviate pressure on their joints and improve overall comfort.