How To Use HCPCS Code E2384

HCPCS code E2384 describes a power wheelchair accessory, specifically a pneumatic caster tire, that is used as a replacement for any size of tire. This code is used to identify the specific accessory that is being provided for a power wheelchair. It is important for medical coders to understand the meaning and usage of this code in order to accurately document and bill for the services provided.

1. What is HCPCS E2384?

HCPCS code E2384 is used to identify a power wheelchair accessory, specifically a pneumatic caster tire. This code is used when a replacement tire is needed for a power wheelchair, regardless of the size of the tire. It is important to note that this code is only used for replacement tires and not for initial installations or other types of accessories.

2. Official Description

The official description of HCPCS code E2384 is “Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each.” This description clearly indicates that this code is specifically for a replacement pneumatic caster tire for a power wheelchair. The short description of this code is “Enteral supp not otherwise c,” which provides a brief summary of the code’s purpose.

3. Procedure

1. When replacing a pneumatic caster tire for a power wheelchair, the healthcare provider should first assess the condition of the existing tire to determine if a replacement is necessary.
2. If a replacement tire is needed, the provider should select a pneumatic caster tire that is suitable for the specific power wheelchair model.
3. The provider should then remove the old tire from the wheelchair by loosening the bolts or screws that secure it in place.
4. Once the old tire is removed, the provider should carefully align the replacement tire with the wheel hub and secure it in place using the appropriate bolts or screws.
5. After the replacement tire is securely attached, the provider should test the wheelchair to ensure that the new tire is functioning properly and does not cause any issues with mobility.

4. When to use HCPCS code E2384

HCPCS code E2384 should be used when a replacement pneumatic caster tire is needed for a power wheelchair. This code is applicable for any size of tire and is used specifically for replacement purposes. It is important to note that this code should not be used for initial installations or for any other power wheelchair accessories.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2384, healthcare providers should ensure that they have the necessary documentation to support the need for a replacement tire. This may include documentation of the condition of the existing tire, any damage or wear that necessitates a replacement, and the specific model of the power wheelchair. Providers should also include the quantity of tires being replaced in the billing documentation.

6. Historical Information and Code Maintenance

HCPCS code E2384 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996, and 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 E2384 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 that 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 and billing guidelines related to this code.

8. Examples

Here are five examples of when HCPCS code E2384 should be billed:

1. A patient’s power wheelchair has a damaged pneumatic caster tire that needs to be replaced. The healthcare provider orders a replacement tire and bills using HCPCS code E2384.
2. A power wheelchair user prefers to have a different size of pneumatic caster tire for their wheelchair. The provider replaces the existing tire with the requested size and bills using HCPCS code E2384.
3. A power wheelchair is being serviced, and during the maintenance, it is determined that the pneumatic caster tire needs to be replaced. The provider replaces the tire and bills using HCPCS code E2384.
4. A power wheelchair user experiences a puncture in their pneumatic caster tire and requires a replacement. The provider replaces the damaged tire and bills using HCPCS code E2384.
5. A power wheelchair user’s tire becomes worn out due to regular use and needs to be replaced. The provider replaces the tire and bills using HCPCS code E2384.