How To Use HCPCS Code E2375

HCPCS code E2375 describes a power wheelchair accessory that includes a non-expandable controller, along with all related electronics and mounting hardware. This code is specifically used for replacement purposes only. In this article, we will explore the details of HCPCS code E2375, 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 E2375?

HCPCS code E2375 is used to identify a power wheelchair accessory that consists of a non-expandable controller, including all related electronics and mounting hardware. This code is specifically used for replacement purposes only. It is important to note that this code should not be used for initial installation or for expanding the capabilities of the power wheelchair.

2. Official Description

The official description of HCPCS code E2375 is “Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The provider should assess the need for a replacement power wheelchair accessory with a non-expandable controller.
2. If it is determined that a replacement is necessary, the provider should ensure that all related electronics and mounting hardware are included.
3. The provider should remove the existing power wheelchair accessory and replace it with the new one.
4. All necessary adjustments and calibrations should be made to ensure proper functioning of the power wheelchair.
5. The provider should educate the patient on the use and maintenance of the new power wheelchair accessory.

4. When to use HCPCS code E2375

HCPCS code E2375 should be used when a power wheelchair accessory with a non-expandable controller needs to be replaced. It is important to note that this code should not be used for initial installation or for expanding the capabilities of the power wheelchair. The replacement should be deemed necessary by the provider after assessing the condition and functionality of the existing accessory.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2375, healthcare providers should ensure that the following documentation requirements are met:

• A detailed description of the replacement power wheelchair accessory with a non-expandable controller, including all related electronics and mounting hardware.
• Documentation supporting the medical necessity of the replacement.
• Any relevant supporting documentation, such as assessment reports or notes from the provider.

Providers should follow the appropriate billing guidelines and submit the claim with the correct HCPCS code E2375.

6. Historical Information and Code Maintenance

HCPCS code E2375 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. The code is priced by other carriers, as indicated by the pricing indicator code 57. The multiple pricing indicator code A indicates that it is not applicable as HCPCS priced under one methodology. The Medicare Carriers Manual Reference Section Number for this code is 2130, 4450.

7. Medicare and Insurance Coverage

HCPCS code E2375 is covered by Medicare. The pricing indicator code 57 indicates that it is priced by other carriers. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130, 4450 for more specific information on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code E2375 should be billed:

1. A patient’s power wheelchair accessory with a non-expandable controller is no longer functioning properly and requires replacement.
2. A power wheelchair accessory with a non-expandable controller is damaged beyond repair and needs to be replaced.
3. A patient’s power wheelchair accessory with a non-expandable controller is lost or stolen and needs to be replaced.
4. A power wheelchair accessory with a non-expandable controller is outdated and no longer compatible with the patient’s power wheelchair.
5. A patient’s power wheelchair accessory with a non-expandable controller is recalled by the manufacturer and needs to be replaced.