How To Use HCPCS Code E0990

HCPCS code E0990 describes a wheelchair accessory known as an elevating leg rest, which is a complete assembly that is used to provide support and elevation for the legs of individuals using wheelchairs. This code is used to identify and bill for the specific product or service associated with the elevating leg rest.

1. What is HCPCS E0990?

HCPCS code E0990 is used to identify a wheelchair accessory known as an elevating leg rest. This accessory is a complete assembly that provides support and elevation for the legs of individuals using wheelchairs. It is designed to improve comfort and positioning for wheelchair users.

2. Official Description

The official description of HCPCS code E0990 is “Wheelchair accessory, elevating leg rest, complete assembly, each.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. Attach the elevating leg rest to the wheelchair according to the manufacturer’s instructions.
2. Ensure that the leg rest is securely fastened and properly aligned with the wheelchair.
3. Adjust the leg rest to the desired height and angle to provide optimal support and comfort for the individual.
4. Instruct the individual on how to use and adjust the leg rest as needed.

4. When to use HCPCS code E0990

HCPCS code E0990 should be used when billing for the provision of a wheelchair accessory, specifically an elevating leg rest. This code is applicable when the leg rest is provided as a complete assembly and is used to support and elevate the legs of individuals using wheelchairs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0990, healthcare providers should ensure that the following documentation requirements are met:

• Documentation of medical necessity for the elevating leg rest.
• Documentation of the individual’s need for support and elevation of the legs.
• Documentation of the specific wheelchair model and any modifications made to accommodate the leg rest.

6. Historical Information and Code Maintenance

HCPCS code E0990 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.

7. Medicare and Insurance Coverage

HCPCS code E0990 is eligible for coverage by Medicare and other insurance providers. 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, which means it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E0990 should be billed:

1. A patient with a documented medical condition requiring leg elevation in a wheelchair.
2. A wheelchair user who requires additional support and comfort for their legs.
3. A patient with a prescription from a healthcare provider for an elevating leg rest.
4. A wheelchair user who experiences discomfort or pain in their legs without proper support.
5. A patient with a documented need for leg elevation due to a specific medical condition or injury.