How To Use HCPCS Code E2102
HCPCS code E2102 describes an adjunctive, non-implanted continuous glucose monitor or receiver. This code is used to identify enteral supplies that are not otherwise classified. It is important for medical coders to understand the meaning and usage of this code to ensure accurate billing and reimbursement.
1. What is HCPCS E2102?
HCPCS code E2102 is used to identify an adjunctive, non-implanted continuous glucose monitor or receiver. This code is specifically used for enteral supplies that do not fit into any other category. It is important to note that this code does not cover implanted continuous glucose monitors or receivers.
2. Official Description
The official description of HCPCS code E2102 is “Adjunctive, non-implanted continuous glucose monitor or receiver.” The short description for this code is “Enteral supp not otherwise c.”
3. Procedure
- Before using HCPCS code E2102, the healthcare provider must ensure that the patient meets the eligibility criteria for an adjunctive, non-implanted continuous glucose monitor or receiver.
- The provider must then obtain the necessary equipment, such as the monitor or receiver, and ensure that it is properly calibrated and functioning.
- The monitor or receiver is then applied to the patient according to the manufacturer’s instructions.
- The provider should educate the patient on how to use the monitor or receiver and provide any necessary training or support.
- Regular monitoring and maintenance of the monitor or receiver should be performed to ensure accurate glucose readings.
4. When to use HCPCS code E2102
HCPCS code E2102 should be used when billing for an adjunctive, non-implanted continuous glucose monitor or receiver. This code is specifically for enteral supplies that do not fit into any other category. It is important to review the official description and short description to ensure that the specific item being billed aligns with the code.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E2102, healthcare providers should ensure that all necessary documentation is included to support the claim. This may include documentation of the patient’s eligibility for an adjunctive, non-implanted continuous glucose monitor or receiver, as well as documentation of the application and usage of the monitor or receiver. It is important to follow all billing guidelines and requirements set forth by the payer to ensure proper reimbursement.
6. Historical Information and Code Maintenance
HCPCS code E2102 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 E2102 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 providers to determine coverage and reimbursement rates for HCPCS code E2102.
8. Examples
Here are five examples of when HCPCS code E2102 should be billed:
- A patient with diabetes requires an adjunctive, non-implanted continuous glucose monitor to monitor their blood glucose levels.
- A healthcare provider prescribes an enteral supplement that is not otherwise classified for a patient with specific dietary needs.
- A patient with a medical condition requires an adjunctive, non-implanted continuous glucose receiver to receive and interpret glucose readings from their monitor.
- A healthcare provider orders an enteral supply that does not fit into any other category for a patient with a specific medical condition.
- A patient requires an adjunctive, non-implanted continuous glucose monitor or receiver for ongoing monitoring and management of their diabetes.
