HCPCS code E1015 describes a shock absorber for a manual wheelchair. This code is used to identify the specific supply that is used to provide shock absorption and improve the comfort and stability of a manual wheelchair. In this article, we will explore the details of HCPCS code E1015, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.
1. What is HCPCS E1015?
HCPCS code E1015 is used to identify a shock absorber for a manual wheelchair. This supply is designed to absorb shocks and vibrations, providing a smoother and more comfortable ride for wheelchair users. It is an essential component for individuals who rely on manual wheelchairs for mobility.
2. Official Description
The official description of HCPCS code E1015 is “Shock absorber for manual wheelchair, each.” This description accurately represents the purpose and function of the supply. The short description is “Parenteral supp not othrws c,” which further clarifies that this code is specifically for shock absorbers used in manual wheelchairs.
3. Procedure
- To install the shock absorber, the healthcare provider should first ensure that the manual wheelchair is stable and secure.
- They should then identify the appropriate location for the shock absorber installation, considering factors such as the user’s weight, height, and specific needs.
- The provider should carefully follow the manufacturer’s instructions for attaching the shock absorber to the wheelchair frame.
- Once the shock absorber is securely attached, the provider should test its functionality by applying pressure and observing the response.
- They should make any necessary adjustments to ensure optimal performance and user comfort.
4. When to use HCPCS code E1015
HCPCS code E1015 should be used when a shock absorber is provided for a manual wheelchair. This code is applicable when the shock absorber is necessary to improve the comfort and stability of the wheelchair, particularly for individuals who experience discomfort or jarring movements while using their manual wheelchair.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E1015, healthcare providers should ensure that the following documentation requirements are met:
- Medical records should clearly indicate the need for a shock absorber and the specific reasons why it is necessary for the patient’s mobility and comfort.
- Documentation should include details about the wheelchair user’s condition, any related medical diagnoses, and the impact of the shock absorber on their overall well-being.
- Providers should also include information about the specific shock absorber model and any adjustments made during installation.
6. Historical Information and Code Maintenance
HCPCS code E1015 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. No maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code. The code has remained unchanged since its addition to the system.
7. Medicare and Insurance Coverage
Medicare and insurance coverage for HCPCS code E1015 may vary. It is important to check with the specific insurance provider to determine coverage and reimbursement policies. 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 E1015 should be billed:
- A patient with a manual wheelchair requires a shock absorber to alleviate discomfort caused by uneven terrain.
- An individual with a history of back pain needs a shock absorber to minimize the impact of bumps and vibrations while using their manual wheelchair.
- A wheelchair user with a spinal cord injury requires a shock absorber to reduce the risk of further injury and enhance their overall comfort.
- A patient with a degenerative joint disease relies on a manual wheelchair and needs a shock absorber to prevent joint pain and deterioration.
- An individual with a mobility impairment experiences discomfort and fatigue while using their manual wheelchair and would benefit from a shock absorber to improve their overall well-being.
