How To Use HCPCS Code E2382

HCPCS code E2382 describes a power wheelchair accessory, specifically a tube for pneumatic drive wheel tire. This code is used for the replacement of the tube and is applicable to any size of the tire. It falls under the category of enteral supplies and is not otherwise classified. In this article, we will explore the details of HCPCS code E2382, 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 E2382?

HCPCS code E2382 is used to identify a specific power wheelchair accessory, which is a tube for pneumatic drive wheel tire. This code is specifically for the replacement of the tube and can be used for any size of the tire. It is important to note that this code is only applicable for replacement purposes and not for the initial purchase or installation of the tube.

2. Official Description

The official description of HCPCS code E2382 is “Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each.” The short description for this code is “Enteral supp not otherwise c.” This description accurately defines the purpose and scope of this code.

3. Procedure

1. Before replacing the tube for the pneumatic drive wheel tire, the healthcare provider should assess the condition of the existing tube and determine if replacement is necessary.
2. If replacement is deemed necessary, the provider should ensure they have the appropriate replacement tube available.
3. The power wheelchair should be securely positioned to allow easy access to the pneumatic drive wheel tire.
4. The provider should carefully remove the old tube from the tire, taking care not to damage the tire or the wheel.
5. Once the old tube is removed, the provider should insert the new tube into the tire, ensuring it is properly aligned and seated.
6. The provider should then inflate the tube to the appropriate pressure, as specified by the manufacturer’s guidelines.
7. After inflation, the provider should check for any leaks or abnormalities in the tube or tire.
8. If everything appears to be in order, the power wheelchair can be returned to the patient for use.

4. When to use HCPCS code E2382

HCPCS code E2382 should be used when a power wheelchair requires the replacement of the tube for the pneumatic drive wheel tire. This code is specifically for replacement purposes and should not be used for the initial purchase or installation of the tube. It is important to ensure that the replacement is medically necessary and meets the coverage criteria set forth by the payer.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2382, healthcare providers should ensure they have the following documentation:

• A detailed description of the medical necessity for the replacement of the tube
• Documentation supporting the need for the specific size of the tube
• Any relevant clinical notes or reports
• Proof of purchase or acquisition of the replacement tube

Providers should follow the appropriate billing guidelines set forth by the payer, including any specific modifiers or additional documentation requirements.

6. Historical Information and Code Maintenance

HCPCS code E2382 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. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code E2382 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. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific coverage instructions and guidelines.

8. Examples

Here are five examples of when HCPCS code E2382 should be billed:

1. A patient’s power wheelchair has a flat tire due to a puncture, and the tube needs to be replaced.
2. A power wheelchair user notices a significant decrease in tire pressure and requests a replacement tube for the pneumatic drive wheel tire.
3. During a routine maintenance check, a healthcare provider identifies a damaged tube in the power wheelchair’s pneumatic drive wheel tire and replaces it.
4. A power wheelchair user experiences frequent tire deflation, and the healthcare provider determines that the tube needs to be replaced to resolve the issue.
5. After an accident, a power wheelchair’s pneumatic drive wheel tire is damaged, and the tube needs to be replaced as part of the repair process.