How To Use HCPCS Code E2368

HCPCS code E2368 describes a power wheelchair component, specifically the drive wheel motor, which is used as a replacement only. This code is used to identify the specific component needed for the power wheelchair and should be used when billing for the replacement of the drive wheel motor.

1. What is HCPCS E2368?

HCPCS code E2368 is used to identify a power wheelchair component, specifically the drive wheel motor, which is used as a replacement only. This code is important for medical coders and billers to accurately document and bill for the replacement of the drive wheel motor in a power wheelchair.

2. Official Description

The official description of HCPCS code E2368 is “Power wheelchair component, drive wheel motor, replacement only.” This description clearly indicates that this code is specifically for the replacement of the drive wheel motor in a power wheelchair.

3. Procedure

1. Ensure that the power wheelchair is in need of a replacement drive wheel motor.
2. Identify the specific make and model of the power wheelchair.
3. Order the replacement drive wheel motor from a supplier or manufacturer.
4. Install the replacement drive wheel motor in the power wheelchair.
5. Test the power wheelchair to ensure that the replacement drive wheel motor is functioning properly.

4. When to use HCPCS code E2368

HCPCS code E2368 should be used when a power wheelchair requires a replacement drive wheel motor. This code is specifically for the replacement of the drive wheel motor and should not be used for any other components or services related to power wheelchairs.

5. Billing Guidelines and Documentation Requirements

When billing for the replacement of a drive wheel motor using HCPCS code E2368, healthcare providers need to ensure that the following documentation is included:

• Documentation indicating the medical necessity for the replacement of the drive wheel motor.
• Documentation of the specific make and model of the power wheelchair.
• Documentation of the replacement drive wheel motor ordered and installed.
• Documentation of any testing or adjustments made to ensure proper functioning of the replacement drive wheel motor.

6. Historical Information and Code Maintenance

HCPCS code E2368 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 E2368 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that this code is priced by other carriers. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are some examples of when HCPCS code E2368 should be billed:

1. A patient’s power wheelchair requires a replacement drive wheel motor due to mechanical failure.
2. A power wheelchair is being upgraded, and the drive wheel motor needs to be replaced to accommodate the new features.
3. A power wheelchair is being repaired, and the drive wheel motor is identified as the component that needs to be replaced.
4. A power wheelchair is being serviced, and the drive wheel motor is found to be faulty and in need of replacement.
5. A power wheelchair is being customized for a specific patient, and the drive wheel motor needs to be replaced to meet the patient’s specific needs.