How To Use HCPCS Code E2383

HCPCS code E2383 describes a power wheelchair accessory, specifically an insert for a pneumatic drive wheel tire. This insert is removable and can be used with any type and size of pneumatic drive wheel tire. It is intended as a replacement for the existing insert and is billed individually for each insert used.

1. What is HCPCS E2383?

HCPCS code E2383 is used to identify a specific power wheelchair accessory, which is an insert for a pneumatic drive wheel tire. This insert is designed to be removable and can be used with any type and size of pneumatic drive wheel tire. It is important to note that this code is used for replacement inserts only and not for initial installations.

2. Official Description

The official description of HCPCS code E2383 is “Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. To use HCPCS code E2383, the healthcare provider must first determine the need for a replacement insert for the pneumatic drive wheel tire of a power wheelchair.
2. The provider should assess the condition of the existing insert and determine if it needs to be replaced due to wear and tear or any other issues.
3. If a replacement insert is necessary, the provider should select the appropriate insert based on the type and size of the pneumatic drive wheel tire.
4. The old insert should be removed from the tire, and the new insert should be inserted in its place.
5. The provider should ensure that the new insert is securely in place and properly aligned with the tire.
6. Finally, the provider should document the replacement of the insert in the patient’s medical record for billing and reimbursement purposes.

4. When to use HCPCS code E2383

HCPCS code E2383 should be used when a power wheelchair requires a replacement insert for its pneumatic drive wheel tire. This code is specifically for replacement inserts and should not be used for initial installations or any other power wheelchair accessories.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2383, healthcare providers should ensure that the following documentation requirements are met:

• Documentation of the medical necessity for the replacement insert
• Documentation of the type and size of the pneumatic drive wheel tire
• Date of the replacement procedure
• Quantity of inserts used

Providers should also follow the billing guidelines set forth by Medicare or other insurance carriers to ensure proper reimbursement for the service.

6. Historical Information and Code Maintenance

HCPCS code E2383 was added to the Healthcare Common Procedure Coding System on January 1, 1985. It has an effective date of January 1, 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 and does not fall under a specific pricing methodology.

7. Medicare and Insurance Coverage

HCPCS code E2383 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 further guidance on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code E2383 should be billed:

1. A patient’s power wheelchair has a damaged insert for the pneumatic drive wheel tire, and a replacement insert is necessary.
2. A power wheelchair user wants to upgrade the insert for their pneumatic drive wheel tire to a more durable and high-performance option.
3. A power wheelchair user needs a different size insert for their pneumatic drive wheel tire due to a change in the wheelchair’s specifications.
4. The existing insert for a power wheelchair’s pneumatic drive wheel tire is worn out and needs to be replaced to ensure optimal performance and safety.
5. A power wheelchair user prefers to have an extra insert for their pneumatic drive wheel tire as a backup in case of emergencies or unexpected damage.