How To Use HCPCS Code E2359

HCPCS code E2359 describes a power wheelchair accessory, specifically a group 34 sealed lead acid battery. This code is used to identify the battery used in power wheelchairs, which are essential for individuals with mobility impairments. The battery can be of different types, such as gel cell or absorbed glassmat. It is important to note that this code is not applicable for enteral supplies or any other type of medical equipment.

1. What is HCPCS E2359?

HCPCS code E2359 is used to identify a specific power wheelchair accessory, which is the group 34 sealed lead acid battery. This battery is crucial for powering the wheelchair and ensuring that individuals with mobility impairments can move around independently. It is important to use this code accurately to ensure proper documentation and billing.

2. Official Description

The official description of HCPCS code E2359 is “Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat).” The short description further clarifies that this code is specifically for enteral supplies not otherwise classified. This means that it is used to identify the battery used in power wheelchairs and not for any other type of enteral supplies.

3. Procedure

1. Ensure that the power wheelchair is compatible with a group 34 sealed lead acid battery.
2. Select the appropriate type of battery, such as gel cell or absorbed glassmat, based on the patient’s needs and wheelchair specifications.
3. Install the battery securely in the power wheelchair according to the manufacturer’s instructions.
4. Test the functionality of the power wheelchair to ensure that it is powered by the new battery.

4. When to use HCPCS code E2359

HCPCS code E2359 should be used when billing for the group 34 sealed lead acid battery used in power wheelchairs. It is important to ensure that the battery meets the specifications of group 34 and is compatible with the specific power wheelchair being used. This code should not be used for any other type of enteral supplies or medical equipment.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2359, healthcare providers need to document the following:

• The patient’s medical record should include the need for a power wheelchair and the specific type of battery required.
• The invoice or receipt should clearly indicate the purchase of a group 34 sealed lead acid battery for a power wheelchair.
• Any supporting documentation, such as manufacturer specifications or justification for the battery selection, should be included if requested by the payer.

6. Historical Information and Code Maintenance

HCPCS code E2359 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has been in use since then without any maintenance actions taken, as indicated by the action code N, which means no maintenance for this code. This code has been effective since January 01, 1996, and there have been no significant changes or revisions since its addition.

7. Medicare and Insurance Coverage

HCPCS code E2359 is eligible for coverage under Medicare and other insurance plans. The pricing indicator code 57 indicates that the service or supply is priced by other carriers, and the multiple pricing indicator code A signifies that it is not applicable as HCPCS priced under one methodology. It is important to check with individual payers for specific coverage and reimbursement guidelines.

8. Examples

Here are five examples of when HCPCS code E2359 should be billed:

1. A patient with a mobility impairment requires a power wheelchair and needs a group 34 sealed lead acid battery to power it.
2. A healthcare facility purchases a replacement battery for a power wheelchair, and the battery is a group 34 sealed lead acid battery.
3. A supplier provides a group 34 sealed lead acid battery to a patient who already has a power wheelchair.
4. A patient’s power wheelchair battery is no longer functioning, and a group 34 sealed lead acid battery is prescribed as a replacement.
5. A power wheelchair is being rented, and the rental agreement includes the provision of a group 34 sealed lead acid battery.