How To Use HCPCS Code E2325

HCPCS code E2325 describes a power wheelchair accessory known as a sip and puff interface. This accessory includes all related electronics, a mechanical stop switch, and manual swingaway mounting hardware. It is used in nonproportional power wheelchairs to provide individuals with limited mobility the ability to control the wheelchair using their breath.

1. What is HCPCS E2325?

HCPCS code E2325 is specifically used to identify the power wheelchair accessory known as a sip and puff interface. This device allows individuals with limited mobility to control their nonproportional power wheelchair by using their breath. It includes all the necessary electronics, a mechanical stop switch, and manual swingaway mounting hardware.

2. Official Description

The official description of HCPCS code E2325 is “Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. Ensure that the power wheelchair is compatible with a sip and puff interface.
2. Install the sip and puff interface according to the manufacturer’s instructions.
3. Connect all the necessary electronics, including any required wiring or cables.
4. Install the mechanical stop switch to ensure the wheelchair can be safely stopped when needed.
5. Attach the manual swingaway mounting hardware to allow for easy access and adjustment of the sip and puff interface.
6. Test the functionality of the sip and puff interface to ensure it is working properly.

4. When to use HCPCS code E2325

HCPCS code E2325 should be used when a healthcare provider is providing a nonproportional power wheelchair to a patient and includes the sip and puff interface as part of the wheelchair setup. This code is specifically for the accessory and should not be used for other components or services related to power wheelchairs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2325, healthcare providers should ensure that the documentation clearly indicates the use of the sip and puff interface as part of the power wheelchair setup. This may include detailed notes on the installation process, any adjustments made, and the functional testing performed. Additionally, providers should follow the specific billing guidelines set forth by Medicare or other insurance carriers to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E2325 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions since its addition.

7. Medicare and Insurance Coverage

HCPCS code E2325 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that it is priced by carriers other than Medicare. The multiple pricing indicator code A signifies that it is not applicable as HCPCS priced under one methodology. Healthcare providers should verify coverage and reimbursement rates with the specific insurance carrier before providing the service or supply.

8. Examples

Here are five examples of when HCPCS code E2325 should be billed:

1. A patient with limited mobility requires a nonproportional power wheelchair with a sip and puff interface to navigate their daily activities.
2. An individual with a spinal cord injury needs a power wheelchair with a sip and puff interface to regain independence and mobility.
3. A person with a neuromuscular disorder requires a power wheelchair with a sip and puff interface to control their movements and participate in daily activities.
4. An elderly patient with limited upper body strength needs a power wheelchair with a sip and puff interface to maintain mobility and independence.
5. A child with a congenital disability requires a power wheelchair with a sip and puff interface to explore their environment and interact with peers.