How To Use HCPCS Code E2326

HCPCS code E2326 describes a power wheelchair accessory known as a breath tube kit for a sip and puff interface. This code is used to identify and bill for the specific equipment needed to enable individuals with limited mobility to control their power wheelchair using their breath.

1. What is HCPCS E2326?

HCPCS code E2326 is a specific code used in medical coding to identify and bill for the breath tube kit for a sip and puff interface. This kit is an essential accessory for power wheelchairs that are controlled by the user’s breath. It allows individuals with limited mobility, such as those with spinal cord injuries or neuromuscular disorders, to operate their power wheelchair by inhaling or exhaling into a tube.

2. Official Description

The official description of HCPCS code E2326 is “Power wheelchair accessory, breath tube kit for sip and puff interface.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and function of the breath tube kit.

3. Procedure

1. Ensure that the power wheelchair is equipped with a sip and puff interface.
2. Assemble the breath tube kit according to the manufacturer’s instructions.
3. Connect the breath tube to the sip and puff interface of the power wheelchair.
4. Ensure that the breath tube is securely attached and positioned comfortably for the user.
5. Instruct the user on how to operate the power wheelchair using the breath tube.
6. Provide any necessary training or assistance to the user to ensure they can effectively control the power wheelchair.

4. When to use HCPCS code E2326

HCPCS code E2326 should be used when billing for the breath tube kit for a sip and puff interface for a power wheelchair. This code is applicable when providing this specific accessory to individuals who require it to operate their power wheelchair using their breath. It is important to ensure that the patient meets the eligibility criteria for the use of this code, such as having a documented need for a power wheelchair and a medical condition that necessitates the use of a sip and puff interface.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2326, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the breath tube kit. This may include medical records, physician orders, and any other relevant documentation that demonstrates the need for this specific accessory. Providers should also follow the appropriate billing guidelines and submit the claim with the correct coding and modifiers, if applicable, to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E2326 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 to the code since its addition.

7. Medicare and Insurance Coverage

HCPCS code E2326 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that this code is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of scenarios where HCPCS code E2326 would be used:

1. A patient with a spinal cord injury requires a power wheelchair with a sip and puff interface. The breath tube kit is provided to enable the patient to control the wheelchair using their breath.
2. An individual with a neuromuscular disorder needs a power wheelchair with a sip and puff interface. The breath tube kit is supplied to allow the individual to operate the wheelchair using their breath.
3. A patient with a respiratory condition requires a power wheelchair with a sip and puff interface. The breath tube kit is necessary to facilitate the patient’s ability to control the wheelchair using their breath.
4. An individual with limited upper extremity function needs a power wheelchair with a sip and puff interface. The breath tube kit is provided to enable the individual to operate the wheelchair independently.
5. A person with a progressive neurological condition requires a power wheelchair with a sip and puff interface. The breath tube kit is essential for the individual to maintain mobility and independence.