How To Use HCPCS Code E2387
HCPCS code E2387 describes a power wheelchair accessory, specifically a foam-filled caster tire. This code is used for replacement purposes only, and it applies to any size of foam-filled caster tire. In this article, we will explore the details of HCPCS code E2387, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and examples.
1. What is HCPCS E2387?
HCPCS code E2387 is used to identify a specific power wheelchair accessory, which is a foam-filled caster tire. This code is exclusively used for replacement purposes and can be applied to any size of foam-filled caster tire. It is important to note that this code is not used for the initial provision of the accessory, but only when a replacement is required.
2. Official Description
The official description of HCPCS code E2387 is “Power wheelchair accessory, foam filled caster tire, any size, replacement only, each.” This description clearly indicates that the code is specific to foam-filled caster tires used as accessories for power wheelchairs. It emphasizes that the code should only be used when a replacement tire is needed.
3. Procedure
- When a power wheelchair requires a replacement foam-filled caster tire, the healthcare provider should identify the appropriate size needed.
- The provider should ensure that the replacement tire is compatible with the specific power wheelchair model.
- The old foam-filled caster tire should be removed from the power wheelchair.
- The new foam-filled caster tire should be carefully installed, ensuring a secure fit.
- The power wheelchair should be tested to ensure that the replacement tire functions properly.
4. When to use HCPCS code E2387
HCPCS code E2387 should be used when a replacement foam-filled caster tire is required for a power wheelchair. It is important to note that this code is not applicable for the initial provision of the accessory or for situations where a different type of caster tire is used. It is specifically for replacement purposes only.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E2387, healthcare providers should ensure that the following documentation requirements are met:
- Documentation indicating the medical necessity for the replacement foam-filled caster tire.
- Proof of the power wheelchair model and compatibility with the replacement tire.
- Date of service and duration of use for the old tire.
- Any additional relevant documentation supporting the need for the replacement tire.
6. Historical Information and Code Maintenance
HCPCS code E2387 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. No maintenance actions have been 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 system.
7. Medicare and Insurance Coverage
HCPCS code E2387 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by carriers using methods other than the Medicare fee schedule. The multiple pricing indicator code is A, which means that it is not applicable as HCPCS is priced under one methodology.
8. Examples
Here are some examples of scenarios where HCPCS code E2387 should be billed:
- A patient’s power wheelchair requires a replacement foam-filled caster tire due to wear and tear.
- A power wheelchair user experiences a puncture in their foam-filled caster tire, necessitating a replacement.
- During routine maintenance, it is discovered that a power wheelchair’s foam-filled caster tire is no longer functioning properly and needs to be replaced.
- A power wheelchair user upgrades to a larger wheelchair model, requiring the replacement of their existing foam-filled caster tire with a larger size.
- A foam-filled caster tire becomes damaged beyond repair, necessitating a replacement for the power wheelchair.
