How To Use HCPCS Code E1230

HCPCS code E1230 describes a power operated vehicle (three or four wheel nonhighway) that is used for transportation purposes. This code is used to specify the brand name and model number of the vehicle. In this article, we will explore the details of HCPCS code E1230, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS E1230?

HCPCS code E1230 is used to identify a power operated vehicle (three or four wheel nonhighway) that is used for transportation purposes. This code is used to specify the brand name and model number of the vehicle. It is important to note that this code is specifically used for nonhighway vehicles and not for vehicles intended for use on public roads or highways.

2. Official Description

The official description of HCPCS code E1230 is “Power operated vehicle (three or four wheel nonhighway) specify brand name and model number.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. When using HCPCS code E1230, the healthcare provider should specify the brand name and model number of the power operated vehicle being used for transportation.
2. The provider should ensure that the vehicle meets the criteria of being a three or four-wheel nonhighway vehicle.
3. The provider should document the use of the power operated vehicle in the patient’s medical records.

4. When to use HCPCS code E1230

HCPCS code E1230 should be used when a power operated vehicle (three or four wheel nonhighway) is being used for transportation purposes. This code is typically used for patients who require assistance in mobility and transportation due to their medical condition. It is important to ensure that the vehicle meets the criteria of being a nonhighway vehicle and is not intended for use on public roads or highways.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E1230, healthcare providers should ensure that the brand name and model number of the power operated vehicle are clearly documented. Additionally, the medical records should include information on the patient’s medical condition and the need for the power operated vehicle for transportation purposes. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E1230 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 E1230 is covered by Medicare. 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. It is important to check with individual insurance carriers for coverage and reimbursement guidelines.

8. Examples

Here are five examples of when HCPCS code E1230 should be billed:

1. A patient with a mobility impairment requires a power operated vehicle for transportation to medical appointments.
2. A patient with a chronic medical condition needs a power operated vehicle to travel within their home or community.
3. A patient with a disability requires a power operated vehicle to access essential services and facilities.
4. A patient recovering from a surgery or injury needs a power operated vehicle for temporary mobility assistance.
5. A patient with a progressive medical condition requires a power operated vehicle for long-term transportation needs.