How To Use HCPCS Code E2293

HCPCS code E2293 describes a back support that is contoured specifically for pediatric size wheelchairs, including the fixed attaching hardware. This code is used to identify and bill for this specific item when it is provided to pediatric patients who require additional support and stability while using a wheelchair.

1. What is HCPCS E2293?

HCPCS code E2293 is used to identify a back support that is contoured for pediatric size wheelchairs. It includes the fixed attaching hardware necessary for proper installation and secure attachment to the wheelchair. This code is specific to pediatric patients and is not applicable for adult-sized wheelchairs.

2. Official Description

The official description of HCPCS code E2293 is “Back, contoured, for pediatric size wheelchair including fixed attaching hardware.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The provider should assess the patient’s wheelchair needs and determine if a contoured back support is necessary.
2. Select a back support that is specifically designed for pediatric size wheelchairs.
3. Ensure that the back support includes the necessary fixed attaching hardware.
4. Properly install and attach the back support to the wheelchair according to the manufacturer’s instructions.
5. Ensure that the back support is securely attached and provides the necessary support and stability for the pediatric patient.

4. When to use HCPCS code E2293

HCPCS code E2293 should be used when providing a contoured back support specifically designed for pediatric size wheelchairs. This code is applicable when the back support includes the fixed attaching hardware and is used to provide additional support and stability for pediatric patients while using a wheelchair.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2293, healthcare providers should ensure that the following documentation is included:

• Medical records indicating the need for a contoured back support for a pediatric patient
• Documentation supporting the selection of a back support specifically designed for pediatric size wheelchairs
• Proof of purchase or lease agreement for the back support
• Documentation of the installation and attachment of the back support to the wheelchair

6. Historical Information and Code Maintenance

HCPCS code E2293 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 E2293 is eligible for coverage under 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. Healthcare providers should verify coverage and reimbursement policies with Medicare and other insurance carriers.

8. Examples

Here are five examples of when HCPCS code E2293 should be billed:

1. A 5-year-old child with a spinal cord injury requires a contoured back support for their pediatric wheelchair to provide proper postural support.
2. A 3-year-old with cerebral palsy needs a back support with fixed attaching hardware to ensure stability and prevent slouching while using their wheelchair.
3. A 7-year-old with muscular dystrophy requires a contoured back support to maintain proper alignment and prevent discomfort during wheelchair use.
4. A 4-year-old with spina bifida needs a back support with fixed attaching hardware to provide additional support and stability for their wheelchair.
5. A 6-year-old with a congenital spine deformity requires a contoured back support to maintain proper spinal alignment while using their pediatric wheelchair.