How To Use HCPCS Code E1699

HCPCS code E1699 describes a specific type of dialysis equipment that is not otherwise specified. This code is used to identify and bill for enteral supplies that do not fall under any other specific HCPCS code. In this article, we will explore the details of HCPCS code E1699, 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 E1699?

HCPCS code E1699 is used to identify dialysis equipment that is not otherwise specified. This code is specifically used for enteral supplies that do not have a more specific HCPCS code assigned to them. It is important to note that this code should only be used when there is no other appropriate code available to describe the specific dialysis equipment being provided.

2. Official Description

The official description of HCPCS code E1699 is “Dialysis equipment, not otherwise specified.” The short description for this code is “Enteral supp not otherwise c.” This description indicates that this code is used for enteral supplies that are not classified under any other specific HCPCS code.

3. Procedure

1. When using HCPCS code E1699, the healthcare provider should ensure that the dialysis equipment being provided falls under the category of enteral supplies.
2. The provider should document the specific details of the dialysis equipment being used, including the brand, model, and any other relevant information.
3. The provider should also document the medical necessity for the dialysis equipment and ensure that it is being used for a covered indication.
4. Proper coding and documentation should be done to support the use of HCPCS code E1699.

4. When to use HCPCS code E1699

HCPCS code E1699 should be used when there is a need to bill for dialysis equipment that does not have a more specific HCPCS code assigned to it. This code is used for enteral supplies that are not otherwise classified under any other code. It is important to ensure that the equipment being provided meets the criteria for enteral supplies and is medically necessary for the patient.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E1699, healthcare providers need to ensure that they have proper documentation to support the use of this code. This includes documenting the specific details of the dialysis equipment being provided, as well as the medical necessity for its use. Providers should also follow any specific billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E1699 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 HCPCS.

7. Medicare and Insurance Coverage

HCPCS code E1699 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 follow the specific pricing guidelines set forth by Medicare or other insurance carriers when billing for dialysis equipment using HCPCS code E1699.

8. Examples

Here are five examples of when HCPCS code E1699 should be billed:

1. A patient requires a specific type of dialysis equipment that does not have a more specific HCPCS code assigned to it.
2. A provider supplies enteral supplies for a patient with a unique medical condition that requires specialized dialysis equipment.
3. A patient needs dialysis equipment that is not covered under any other specific HCPCS code due to its unique features or functionality.
4. A provider offers dialysis equipment that is not commonly used but is necessary for a specific patient population.
5. A patient requires dialysis equipment that is not covered under any other specific HCPCS code due to its experimental or investigational nature.