How To Use HCPCS Code E1810

HCPCS code E1810 describes a dynamic adjustable knee extension/flexion device that includes soft interface material. This code is used to identify a specific type of knee device that is designed to provide support and assist with the extension and flexion of the knee joint. In this article, we will explore the details of HCPCS code E1810, 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 E1810?

HCPCS code E1810 is used to identify a dynamic adjustable knee extension/flexion device that includes soft interface material. This code is specifically used for knee devices that are designed to provide support and assist with the extension and flexion of the knee joint. It is important to note that this code is not applicable for other types of knee devices or for devices that do not include soft interface material.

2. Official Description

The official description of HCPCS code E1810 is “Dynamic adjustable knee extension/flexion device, includes soft interface material.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider will assess the patient’s knee condition and determine the need for a dynamic adjustable knee extension/flexion device.
2. The provider will select an appropriate device that includes soft interface material.
3. The provider will properly fit the device to the patient’s knee, ensuring a comfortable and secure fit.
4. The provider will instruct the patient on how to use the device, including proper adjustment and maintenance.
5. The patient will use the device as directed by the provider, following any specific guidelines or restrictions.

4. When to use HCPCS code E1810

HCPCS code E1810 should be used when a dynamic adjustable knee extension/flexion device with soft interface material is provided to a patient. This code is typically used for patients who require additional support and assistance with the extension and flexion of their knee joint. It is important to ensure that the device meets the specific criteria outlined in the code description.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E1810, healthcare providers should ensure that the following documentation requirements are met:

• A detailed description of the device provided, including the brand, model, and any additional features.
• The patient’s medical records, including the diagnosis or condition that necessitates the use of the device.
• Proof of medical necessity, such as a physician’s order or prescription.
• Any additional supporting documentation, such as prior authorization or documentation of failed conservative treatment options.

6. Historical Information and Code Maintenance

HCPCS code E1810 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 E1810 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 refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions on billing and coverage for this code.

8. Examples

Here are five examples of when HCPCS code E1810 should be billed:

1. A patient with a knee injury requiring additional support and assistance with knee extension and flexion is provided with a dynamic adjustable knee extension/flexion device that includes soft interface material.
2. A patient with a chronic knee condition that limits their range of motion is prescribed a dynamic adjustable knee extension/flexion device with soft interface material to help improve their knee function.
3. A patient undergoing rehabilitation following knee surgery is fitted with a dynamic adjustable knee extension/flexion device to aid in their recovery and improve their knee mobility.
4. A patient with a degenerative knee condition that causes pain and instability is provided with a dynamic adjustable knee extension/flexion device to help alleviate symptoms and improve their overall knee function.
5. A patient with a knee condition that requires ongoing support and assistance with knee extension and flexion is prescribed a dynamic adjustable knee extension/flexion device with soft interface material for long-term use.