How To Use HCPCS Code E1300

HCPCS code E1300 describes a portable whirlpool, specifically an overtub type. This code is used to identify a parenteral supply that is not otherwise classified. It falls under the category of enteral/parenteral nutrients/supplies and is typically used for patients who require this type of therapy. In this article, we will explore the details of HCPCS code E1300, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS E1300?

HCPCS code E1300 is used to identify a portable whirlpool, overtub type. This code is specifically used for parenteral supplies that are not otherwise classified. It is important to note that this code is not applicable for other types of whirlpools or therapies. Providers should use this code when billing for the use of a portable whirlpool of this specific type.

2. Official Description

The official description of HCPCS code E1300 is “Whirlpool, portable (overtub type)”. The short description is “Parenteral supp not othrws c”. This description accurately represents the nature of the code and the type of supply it refers to.

3. Procedure

1. Prepare the portable whirlpool by ensuring it is clean and in proper working condition.
2. Position the whirlpool in a suitable location, ensuring it is easily accessible for the patient.
3. Fill the whirlpool with the appropriate amount of water, following any specific instructions provided by the manufacturer.
4. Connect the necessary tubing or equipment to administer the parenteral solution.
5. Ensure the patient is comfortable and properly positioned in the whirlpool.
6. Start the whirlpool and adjust the settings as needed, taking into consideration the patient’s comfort and any specific instructions provided by the healthcare provider.
7. Monitor the patient throughout the duration of the therapy, making any necessary adjustments or interventions as required.
8. After the therapy session is complete, drain and clean the whirlpool according to proper infection control protocols.

4. When to use HCPCS code E1300

HCPCS code E1300 should be used when a portable whirlpool of the overtub type is utilized for parenteral therapy. This code is not applicable for other types of whirlpools or therapies. It is important to ensure that the specific criteria for using this code are met before submitting a claim.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E1300, healthcare providers should ensure that the following documentation is included:

• Medical records supporting the need for parenteral therapy
• Documentation of the specific type of whirlpool used
• Details of the therapy session, including start and end times
• Any additional services or supplies provided during the session

Providers should also follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E1300 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. This code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

HCPCS code E1300 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. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130, 4450 for additional guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code E1300 should be billed:

1. A patient with a chronic wound requiring parenteral therapy receives treatment in a portable whirlpool of the overtub type.
2. A home healthcare agency provides parenteral therapy to a patient in their own residence using a portable whirlpool.
3. A hospital uses a portable whirlpool for parenteral therapy in their outpatient clinic.
4. A skilled nursing facility utilizes a portable whirlpool for parenteral therapy for their residents.
5. A rehabilitation center offers parenteral therapy using a portable whirlpool as part of their treatment program.