How To Use HCPCS Code E1039

HCPCS code E1039 describes a transport chair designed for adult patients with a heavy-duty construction and a weight capacity greater than 300 pounds. This code is used to identify the specific type of equipment used for patient transport in healthcare settings. In this article, we will explore the details of HCPCS code E1039, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS E1039?

HCPCS code E1039 is used to identify a transport chair that is specifically designed for adult patients with a weight capacity greater than 300 pounds. This code is used to indicate the provision of a heavy-duty transport chair for patients who require assistance in moving within healthcare facilities.

2. Official Description

The official description of HCPCS code E1039 is “Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds.” This description accurately represents the purpose and specifications of the equipment covered by this code.

3. Procedure

1. Ensure that the transport chair meets the criteria specified in the official description of HCPCS code E1039, including its adult size and weight capacity greater than 300 pounds.
2. Verify the patient’s weight to ensure that it exceeds the specified weight capacity of the transport chair.
3. Assist the patient in safely and comfortably transferring to the transport chair.
4. Ensure that the patient is securely positioned and properly restrained in the transport chair.
5. Transport the patient to the desired location within the healthcare facility.
6. Assist the patient in safely transferring out of the transport chair, if necessary.

4. When to use HCPCS code E1039

HCPCS code E1039 should be used when providing transport chair services to adult patients with a weight capacity greater than 300 pounds. This code is applicable in healthcare settings where patients require assistance in moving within the facility but do not require emergency medical attention.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E1039, healthcare providers should ensure that the following documentation requirements are met:

• Medical records should include the patient’s weight and the need for a transport chair with a weight capacity greater than 300 pounds.
• Documentation should clearly indicate the use of a heavy-duty transport chair for patient transport.
• Billing statements should accurately reflect the provision of transport chair services using HCPCS code E1039.

6. Historical Information and Code Maintenance

HCPCS code E1039 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 E1039 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 carriers using other methodologies. The multiple pricing indicator code is A, which means that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of scenarios where HCPCS code E1039 should be billed:

1. A patient weighing 350 pounds requires transport within a hospital using a heavy-duty transport chair.
2. An adult patient with a weight capacity greater than 300 pounds needs assistance in moving from the emergency department to a radiology department using a transport chair.
3. A healthcare facility provides transport chair services to multiple adult patients with weight capacities exceeding 300 pounds throughout the day.
4. A patient with limited mobility requires a heavy-duty transport chair for transportation to and from medical appointments.
5. A home healthcare agency provides transport chair services to adult patients with weight capacities greater than 300 pounds in their residences.