How To Use HCPCS Code E1028

HCPCS code E1028 describes a wheelchair accessory that consists of manual swingaway, retractable or removable mounting hardware for a joystick, other control interface, or positioning accessory. This code is used to identify the specific equipment used in the wheelchair to facilitate control and positioning for individuals with mobility impairments.

1. What is HCPCS E1028?

HCPCS code E1028 is a specific code used to identify a wheelchair accessory that provides manual swingaway, retractable or removable mounting hardware for a joystick, other control interface, or positioning accessory. This code is used to accurately document and bill for the specific equipment used in a wheelchair to enhance control and positioning for individuals with mobility impairments.

2. Official Description

The official description of HCPCS code E1028 is “Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider should first assess the individual’s specific needs and determine if the manual swingaway, retractable or removable mounting hardware for a joystick, control interface, or positioning accessory is necessary.
2. If deemed necessary, the provider should select the appropriate wheelchair accessory that meets the individual’s requirements.
3. The provider should then install the manual swingaway, retractable or removable mounting hardware onto the wheelchair according to the manufacturer’s instructions.
4. Ensure that the accessory is securely attached and functioning properly.
5. Provide instructions to the individual on how to use and adjust the accessory for optimal control and positioning.

4. When to use HCPCS code E1028

HCPCS code E1028 should be used when a manual swingaway, retractable or removable mounting hardware for a joystick, other control interface, or positioning accessory is provided as a wheelchair accessory. This code is applicable when the accessory is necessary to enhance control and positioning for individuals with mobility impairments.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E1028, healthcare providers should ensure that the following documentation requirements are met:

• A detailed description of the specific wheelchair accessory provided, including the brand, model, and any additional features.
• The medical necessity for the accessory and how it improves control and positioning for the individual.
• The date of service when the accessory was provided.
• The provider’s name, credentials, and contact information.

6. Historical Information and Code Maintenance

HCPCS code E1028 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 E1028 is covered by Medicare and other insurance carriers. 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 E1028 should be billed:

1. A patient with limited upper body strength requires a manual swingaway joystick mount to operate the wheelchair independently.
2. An individual with a positioning accessory needs a retractable mounting hardware to adjust the positioning accessory according to their comfort and support needs.
3. A wheelchair user with a specialized control interface requires removable mounting hardware to easily switch between different control interfaces based on their specific needs.
4. A patient with a progressive condition needs a manual swingaway mounting hardware to accommodate future changes in their control and positioning needs.
5. An individual with a complex seating system requires a retractable mounting hardware to allow for easy transfers in and out of the wheelchair.