How To Use HCPCS Code E0988

HCPCS code E0988 describes a manual wheelchair accessory that is lever-activated and has a wheel drive. This code is used to identify a pair of lever-activated wheel drives that are used as an accessory for a manual wheelchair. The purpose of these wheel drives is to provide additional assistance and mobility to individuals who use manual wheelchairs. In this article, we will explore the details of HCPCS code E0988, 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 E0988?

HCPCS code E0988 is used to identify a specific manual wheelchair accessory. It refers to a pair of lever-activated wheel drives that can be attached to a manual wheelchair. These wheel drives are designed to provide additional power and mobility to the wheelchair user, allowing them to propel themselves forward with less effort. The lever-activated mechanism makes it easier for individuals with limited upper body strength or mobility to operate the wheelchair.

2. Official Description

The official description of HCPCS code E0988 is “Manual wheelchair accessory, lever-activated, wheel drive, pair.” This description accurately reflects the nature and purpose of the accessory. The short description for this code is “Enteral supp not otherwise c,” which may seem unrelated to the actual product. However, it is important to note that HCPCS codes are sometimes repurposed or reused for different products or services over time.

3. Procedure

1. Attach the lever-activated wheel drives to the manual wheelchair according to the manufacturer’s instructions.
2. Ensure that the wheel drives are securely fastened and aligned with the wheelchair’s wheels.
3. Adjust the lever-activated mechanism to the desired position and ensure that it is functioning properly.
4. Instruct the wheelchair user on how to operate the lever-activated wheel drives, including how to engage and disengage the mechanism.
5. Provide any necessary training or assistance to the wheelchair user to ensure they can safely and effectively use the wheel drives.

4. When to use HCPCS code E0988

HCPCS code E0988 should be used when a pair of lever-activated wheel drives is provided as an accessory to a manual wheelchair. These wheel drives are intended to enhance the mobility and independence of individuals who use manual wheelchairs. They are particularly beneficial for individuals with limited upper body strength or mobility, as the lever-activated mechanism reduces the effort required to propel the wheelchair.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0988, healthcare providers should ensure that the following documentation requirements are met:

• A detailed description of the lever-activated wheel drives provided, including the brand, model, and any additional features.
• Documentation supporting the medical necessity of the accessory, such as a physician’s prescription or a clinical evaluation.
• Proof of delivery or dispensing of the wheel drives to the patient.
• Any other relevant documentation, such as prior authorization or medical records, as required by the payer.

6. Historical Information and Code Maintenance

HCPCS code E0988 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 to the code since its addition. It is important for medical coders to stay updated on any changes or updates to HCPCS codes to ensure accurate billing and coding.

7. Medicare and Insurance Coverage

HCPCS code E0988 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 means that the code is not applicable as HCPCS priced under one methodology. It is important for healthcare providers to check with individual insurance carriers to determine coverage and reimbursement policies for HCPCS code E0988.

8. Examples

Here are five examples of scenarios where HCPCS code E0988 should be billed:

1. A patient with limited upper body strength due to a spinal cord injury requires a pair of lever-activated wheel drives to enhance their mobility and independence.
2. An elderly individual with arthritis in their hands and wrists needs the assistance of lever-activated wheel drives to propel their manual wheelchair with less effort.
3. A child with a neuromuscular disorder requires the use of lever-activated wheel drives to participate in activities and navigate their environment more easily.
4. A veteran with a lower limb amputation relies on a manual wheelchair and lever-activated wheel drives to maintain their mobility and engage in daily activities.
5. A person with a progressive muscle disorder requires the assistance of lever-activated wheel drives to continue using their manual wheelchair as their condition worsens.