How To Use HCPCS Code E2376

HCPCS code E2376 describes a power wheelchair accessory known as an expandable controller. This code is used to identify the supply and replacement of the expandable controller, including all related electronics and mounting hardware. It is important for medical coders to understand the specific meaning and usage of this code in order to accurately document and bill for these services.

1. What is HCPCS E2376?

HCPCS code E2376 is used to identify a power wheelchair accessory, specifically an expandable controller. This accessory includes all related electronics and mounting hardware. It is important to note that this code is used for replacement purposes only.

2. Official Description

The official description of HCPCS code E2376 is “Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider should assess the need for a replacement expandable controller for the power wheelchair.
2. Ensure that the patient meets the eligibility criteria for the replacement of the expandable controller.
3. Order the appropriate expandable controller, including all related electronics and mounting hardware.
4. Install the replacement expandable controller on the power wheelchair.
5. Test the functionality of the new expandable controller to ensure proper operation.

4. When to use HCPCS code E2376

HCPCS code E2376 should be used when a power wheelchair requires a replacement expandable controller, including all related electronics and mounting hardware. It is important to note that this code is only applicable for replacement purposes and not for initial supply or other enteral support services.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2376, healthcare providers should ensure that the following documentation requirements are met:

• Documentation of the medical necessity for the replacement expandable controller.
• Documentation of the patient’s eligibility for the replacement.
• Itemized invoice or receipt for the expandable controller, including all related electronics and mounting hardware.
• Any additional supporting documentation as required by the payer.

6. Historical Information and Code Maintenance

HCPCS code E2376 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 E2376 is covered by Medicare and other insurance carriers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are some examples of when HCPCS code E2376 should be billed:

1. A patient’s power wheelchair’s expandable controller malfunctions and requires a replacement. The provider orders and installs a new expandable controller, including all related electronics and mounting hardware.
2. A power wheelchair’s expandable controller becomes damaged due to an accident. The provider assesses the need for a replacement and orders the necessary expandable controller, including all related electronics and mounting hardware.
3. A patient’s power wheelchair’s expandable controller is outdated and no longer functions properly. The provider determines that a replacement is necessary and proceeds to order and install the new expandable controller, including all related electronics and mounting hardware.
4. A power wheelchair’s expandable controller experiences a technical failure that cannot be repaired. The provider determines that a replacement is required and takes the necessary steps to order and install the new expandable controller, including all related electronics and mounting hardware.
5. A patient’s power wheelchair’s expandable controller is lost or stolen. The provider verifies the need for a replacement and proceeds to order and install the new expandable controller, including all related electronics and mounting hardware.