How To Use HCPCS Code E1037

HCPCS code E1037 describes a transport chair specifically designed for pediatric patients. This code is used to identify the supply of a pediatric-sized transport chair for enteral support. In this article, we will explore the details of HCPCS code E1037, 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 E1037?

HCPCS code E1037 is used to identify a transport chair that is specifically designed for pediatric patients. This code is used for enteral support, which refers to the delivery of nutrition or medication through a tube directly into the stomach or intestines. The transport chair allows for easy and safe transportation of pediatric patients who require enteral support.

2. Official Description

The official description of HCPCS code E1037 is “Transport chair, pediatric size.” This description clearly indicates that this code is specifically for a transport chair designed for pediatric patients.

3. Procedure

1. Ensure that the transport chair is of pediatric size and suitable for the patient’s age and weight.
2. Position the patient comfortably in the transport chair, ensuring proper support and safety.
3. Secure any necessary enteral support equipment, such as feeding tubes or medication administration devices, to the transport chair.
4. Transport the patient to the desired location, taking necessary precautions to ensure the patient’s safety and comfort throughout the journey.

4. When to use HCPCS code E1037

HCPCS code E1037 should be used when providing a transport chair specifically designed for pediatric patients who require enteral support. This code is applicable when the patient needs to be transported within a healthcare facility or between healthcare facilities.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E1037, healthcare providers should ensure that the documentation includes the following:

• Medical necessity for the use of a pediatric-sized transport chair
• Documentation of the patient’s need for enteral support
• Documentation of the patient’s age and weight to justify the use of a pediatric-sized transport chair
• Date and duration of the transport chair usage

6. Historical Information and Code Maintenance

HCPCS code E1037 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.

7. Medicare and Insurance Coverage

HCPCS code E1037 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that this code is priced by carriers other than Medicare. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E1037 should be billed:

1. A 6-year-old patient with a feeding tube requires transportation from the pediatric ward to the radiology department for a diagnostic procedure. The transport chair, coded as E1037, is used to safely transport the patient.
2. A 4-year-old patient with enteral support needs to be transferred from a hospital to a specialized pediatric care facility. The transport chair, coded as E1037, is used for the transportation.
3. A 2-year-old patient with enteral support requires transportation within a long-term care facility for physical therapy sessions. The transport chair, coded as E1037, is used for the transportation.
4. A 10-year-old patient with enteral support needs to be transported from a rehabilitation center to a nearby school for educational purposes. The transport chair, coded as E1037, is used for the transportation.
5. A 7-year-old patient with enteral support requires transportation from a pediatric clinic to a nearby pharmacy to pick up medication. The transport chair, coded as E1037, is used for the transportation.