How To Use HCPCS Code E2381

HCPCS code E2381 describes a power wheelchair accessory, specifically a pneumatic drive wheel tire, that is used as a replacement for any size of power wheelchair. This code is used to identify the supply and is not applicable for any other enteral support or coverage. It falls under the category of enteral/parenteral nutrients/supplies in the Healthcare Common Procedure Coding System (HCPCS).

1. What is HCPCS E2381?

HCPCS code E2381 is used to identify a specific power wheelchair accessory, which is a pneumatic drive wheel tire. This accessory is designed to replace the existing tire on a power wheelchair. It is important to note that this code is only applicable for replacement tires and not for any other enteral support or coverage.

2. Official Description

The official description of HCPCS code E2381 is “Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and usage of this specific code.

3. Procedure

1. When replacing a pneumatic drive wheel tire on a power wheelchair, ensure that the replacement tire is compatible with the specific model and size of the wheelchair.
2. Remove the old tire from the wheel by deflating it and loosening any bolts or screws that secure it in place.
3. Carefully align the replacement tire with the wheel and secure it using the appropriate bolts or screws.
4. Inflate the new tire to the recommended pressure level, ensuring that it is properly seated on the wheel.
5. Test the wheelchair to ensure that the replacement tire is functioning correctly and providing the necessary traction and support.

4. When to use HCPCS code E2381

HCPCS code E2381 should be used when a power wheelchair requires a replacement pneumatic drive wheel tire. It is important to note that this code is specific to the tire accessory and should not be used for any other enteral support or coverage.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2381, healthcare providers should ensure that the following documentation is included:

• Documentation indicating the need for a replacement tire due to wear and tear or damage.
• Information on the specific model and size of the power wheelchair.
• Itemized invoice or receipt for the replacement tire.

Providers should follow the standard billing guidelines and submit the claim with the appropriate codes and modifiers as required by the payer.

6. Historical Information and Code Maintenance

HCPCS code E2381 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 E2381 is eligible for coverage under Medicare. 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 E2381 should be billed:

1. Example 1: A patient’s power wheelchair has a damaged pneumatic drive wheel tire that needs to be replaced. The provider orders a replacement tire and bills for it using HCPCS code E2381.
2. Example 2: A power wheelchair user requires a larger size pneumatic drive wheel tire for better traction and stability. The provider orders a replacement tire of the appropriate size and bills for it using HCPCS code E2381.
3. Example 3: A power wheelchair user experiences frequent punctures in the existing pneumatic drive wheel tire. The provider orders a replacement tire that is more durable and bills for it using HCPCS code E2381.
4. Example 4: A power wheelchair user’s existing pneumatic drive wheel tire is worn out and no longer provides adequate support. The provider orders a replacement tire and bills for it using HCPCS code E2381.
5. Example 5: A power wheelchair user prefers a specific brand or type of pneumatic drive wheel tire and requests a replacement. The provider orders the requested tire and bills for it using HCPCS code E2381.