How To Use HCPCS Code E1570
HCPCS code E1570 describes an adjustable chair specifically designed for patients with end-stage renal disease (ESRD). This code is used to identify the provision of an adjustable chair that meets the unique needs of ESRD patients. In this article, we will explore the details of HCPCS code E1570, 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 E1570?
HCPCS code E1570 is used to identify an adjustable chair that is specifically designed for patients with end-stage renal disease (ESRD). This code is used to indicate the provision of a chair that can be adjusted to meet the individual needs and comfort of ESRD patients. It is important to note that this code is only applicable for ESRD patients and should not be used for other patient populations.
2. Official Description
The official description of HCPCS code E1570 is “Adjustable chair, for ESRD patients.” The short description for this code is “Parenteral supp not othrws c.”
3. Procedure
- The healthcare provider should assess the specific needs and requirements of the ESRD patient.
- Select an adjustable chair that meets the comfort and support needs of the patient.
4. When to use HCPCS code E1570
HCPCS code E1570 should be used when providing an adjustable chair specifically designed for patients with end-stage renal disease (ESRD). It is important to ensure that the patient has a documented diagnosis of ESRD and that the chair is being provided to meet their specific needs related to their condition. This code should not be used for patients without ESRD or for chairs that are not specifically designed for ESRD patients.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E1570, healthcare providers should ensure that the following documentation is included:
- A detailed description of the adjustable chair provided
- Documentation of the patient’s ESRD diagnosis
- Any additional documentation supporting the medical necessity of the adjustable chair
Providers should follow the standard billing guidelines and requirements set forth by Medicare or other insurance carriers when submitting claims for reimbursement.
6. Historical Information and Code Maintenance
HCPCS code E1570 was added to the Healthcare Common Procedure Coding System on January 01, 1985. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. The code has a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for this code is A, which means it is not applicable as HCPCS priced under one methodology.
7. Medicare and Insurance Coverage
HCPCS code E1570 is eligible for coverage by Medicare and other insurance carriers. The specific coverage instructions for this code may vary, so it is important to review the individual carrier’s guidelines and policies. Providers should ensure that the necessary documentation is submitted along with the claim to support the medical necessity of the adjustable chair for ESRD patients.
8. Examples
Here are five examples of when HCPCS code E1570 should be billed:
- A patient with ESRD requires an adjustable chair to comfortably receive parenteral nutrition at home.
- An ESRD patient needs an adjustable chair to support their back and provide comfort during dialysis treatments.
- A healthcare facility purchases an adjustable chair specifically designed for ESRD patients to be used in their dialysis unit.
- An ESRD patient requires an adjustable chair to alleviate pressure points and improve circulation during extended periods of sitting.
- A home healthcare provider supplies an adjustable chair to an ESRD patient to improve their overall comfort and quality of life.
