How To Use HCPCS Code E2364

HCPCS code E2364 describes a power wheelchair accessory, specifically a U-1 non-sealed lead acid battery. This code is used to identify and bill for the provision of this particular battery for power wheelchairs. In this article, we will explore the details of HCPCS code E2364, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS E2364?

HCPCS code E2364 is a specific code used to identify a power wheelchair accessory, which is a U-1 non-sealed lead acid battery. This code is essential for accurately documenting and billing for the provision of this battery for power wheelchairs. It is important to use this code correctly to ensure proper reimbursement and to maintain accurate medical records.

2. Official Description

The official description of HCPCS code E2364 is “Power wheelchair accessory, U-1 non-sealed lead acid battery, each.” This description clearly indicates that this code represents a specific type of battery used as an accessory for power wheelchairs. The short description for this code is “Enteral supp not otherwise c,” which further emphasizes its purpose as a power wheelchair accessory.

3. Procedure

1. Ensure that the power wheelchair is compatible with a U-1 non-sealed lead acid battery.
2. Verify the need for a new or replacement battery for the power wheelchair.
3. Select the appropriate U-1 non-sealed lead acid battery for the power wheelchair.
4. Install the battery securely in the power wheelchair according to the manufacturer’s instructions.
5. Test the functionality of the power wheelchair with the new battery to ensure proper operation.

4. When to use HCPCS code E2364

HCPCS code E2364 should be used when providing a U-1 non-sealed lead acid battery as an accessory for a power wheelchair. It is important to use this code only when the specific battery described in the code is provided. If a different type of battery or a different accessory is provided, a different HCPCS code should be used to accurately represent the item or service.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2364, healthcare providers should ensure that the following documentation requirements are met:

• Medical record documentation supporting the need for the U-1 non-sealed lead acid battery as an accessory for the power wheelchair.
• Proof of purchase or acquisition of the battery.
• Itemized invoice or receipt indicating the cost of the battery.

Providers should also follow the billing guidelines set forth by the payer, ensuring that all necessary information is included on the claim form and that the appropriate modifiers, if required, are applied.

6. Historical Information and Code Maintenance

HCPCS code E2364 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an action effective date of January 01, 1996, and no maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition, indicating its stability and continued relevance in the coding system.

7. Medicare and Insurance Coverage

HCPCS code E2364 is covered by Medicare and other insurance carriers. The pricing indicator code for this code is 57, which indicates that it is priced by carriers using methods other than the Medicare fee schedule. The multiple pricing indicator code is A, indicating that this 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 HCPCS code E2364.

8. Examples

Here are five examples of scenarios in which HCPCS code E2364 should be billed:

1. A patient requires a replacement U-1 non-sealed lead acid battery for their power wheelchair due to the existing battery’s failure.
2. A power wheelchair is being provided to a patient, and a U-1 non-sealed lead acid battery is included as part of the initial setup.
3. A patient’s power wheelchair battery needs to be upgraded to a U-1 non-sealed lead acid battery for improved performance and longer battery life.
4. A U-1 non-sealed lead acid battery is provided as a spare or backup battery for a patient’s power wheelchair.
5. A patient’s power wheelchair battery is damaged beyond repair, and a new U-1 non-sealed lead acid battery is necessary for continued use of the wheelchair.