How To Use HCPCS Code E2377

HCPCS code E2377 describes a power wheelchair accessory known as an expandable controller. This code includes all related electronics and mounting hardware, and it is used to upgrade the controller at the initial issue of the power wheelchair. In this article, we will explore the details of HCPCS code E2377, 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 E2377?

HCPCS code E2377 is used to identify a specific power wheelchair accessory. It refers to an expandable controller that includes all related electronics and mounting hardware. This code is used when upgrading the controller at the initial issue of the power wheelchair.

2. Official Description

The official description of HCPCS code E2377 is “Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider begins by assessing the need for an upgrade to the power wheelchair controller.
2. If an upgrade is deemed necessary, the provider selects an expandable controller that includes all related electronics and mounting hardware.
3. The provider installs the new controller on the power wheelchair, ensuring proper functionality and compatibility.
4. The provider tests the upgraded controller to ensure it meets the patient’s needs and operates correctly.

4. When to use HCPCS code E2377

HCPCS code E2377 should be used when upgrading the controller of a power wheelchair at the initial issue. It is important to note that this code is specific to the expandable controller and should not be used for other power wheelchair accessories or components.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2377, healthcare providers should ensure that the documentation supports the need for the upgrade and includes details about the specific expandable controller used. It is also important to include any relevant patient information, such as medical necessity, in the documentation. Providers should follow the appropriate billing guidelines set forth by Medicare or other insurance carriers.

6. Historical Information and Code Maintenance

HCPCS code E2377 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions since its addition.

7. Medicare and Insurance Coverage

HCPCS code E2377 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A means that the code is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130, as it may contain additional information regarding coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code E2377 should be billed:

1. A patient with a power wheelchair requires an upgrade to the controller due to a malfunction. The provider selects an expandable controller and installs it on the wheelchair.
2. A patient with a power wheelchair requires a more advanced controller to accommodate their changing needs. The provider upgrades the controller to an expandable one.
3. A patient’s power wheelchair controller becomes outdated and no longer meets their functional requirements. The provider replaces it with an expandable controller.
4. A patient’s power wheelchair controller is damaged beyond repair. The provider replaces it with an expandable controller as part of the initial issue.
5. A patient’s power wheelchair controller is not compatible with new assistive technology they require. The provider upgrades the controller to an expandable one to ensure compatibility.