How To Use HCPCS Code E1150
HCPCS code E1150 describes a specific type of wheelchair that is equipped with detachable arms and either a desk or full-length swing-away detachable elevating legrests. This code is used to identify the wheelchair and its features for billing and reimbursement purposes. In this article, we will explore the details of HCPCS code E1150, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.
1. What is HCPCS E1150?
HCPCS code E1150 is used to identify a wheelchair with detachable arms and either a desk or full-length swing-away detachable elevating legrests. This code specifically refers to the features and specifications of the wheelchair, allowing healthcare providers to accurately bill for the use of this equipment.
2. Official Description
The official description of HCPCS code E1150 is “Wheelchair, detachable arms, desk or full-length swing-away detachable elevating legrests.” This description clearly outlines the key features of the wheelchair, including the detachable arms and the option for either a desk or full-length swing-away detachable elevating legrests.
3. Procedure
- Ensure that the wheelchair being used has detachable arms.
- Verify whether the wheelchair is equipped with a desk or full-length swing-away detachable elevating legrests.
- If the wheelchair meets the criteria of HCPCS code E1150, document the usage of the wheelchair in the patient’s medical records.
- When billing for the wheelchair, include HCPCS code E1150 on the claim form to accurately identify the equipment being provided.
4. When to use HCPCS code E1150
HCPCS code E1150 should be used when a wheelchair with detachable arms and either a desk or full-length swing-away detachable elevating legrests is provided to a patient. This code is specific to the features of the wheelchair and should only be used when the equipment meets the criteria outlined in the official description.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E1150, healthcare providers should ensure that the usage of the wheelchair is properly documented in the patient’s medical records. This documentation should include details about the patient’s condition or need for the wheelchair, as well as any specific instructions or requirements for the detachable arms and elevating legrests. Additionally, providers should include HCPCS code E1150 on the claim form to accurately identify the equipment being billed.
6. Historical Information and Code Maintenance
HCPCS code E1150 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. This code has remained unchanged since its addition to the HCPCS.
7. Medicare and Insurance Coverage
HCPCS code E1150 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. Providers should follow the specific billing guidelines and requirements of Medicare or the respective insurance provider when submitting claims for HCPCS code E1150.
8. Examples
Here are five examples of when HCPCS code E1150 should be billed:
- A patient with limited mobility requires a wheelchair with detachable arms and a desk for improved accessibility.
- An individual recovering from a leg injury needs a wheelchair with detachable arms and full-length swing-away detachable elevating legrests for proper leg support.
- A wheelchair is provided to a patient with a chronic condition that requires frequent elevation of the legs. The wheelchair is equipped with detachable arms and elevating legrests.
- A healthcare facility purchases a wheelchair with detachable arms and a desk for use by patients with temporary mobility limitations.
- A wheelchair with detachable arms and full-length swing-away detachable elevating legrests is provided to a patient who requires frequent leg elevation due to a medical condition.
