How To Use HCPCS Code E2389

HCPCS code E2389 describes a power wheelchair accessory, specifically a foam caster tire. This code is used for replacement purposes only, and it applies to any size of foam caster tire. It was added to the Healthcare Common Procedure Coding System on January 1, 1985, and its action effective date is January 1, 1996. HCPCS code E2389 falls under the category of parenteral supplies and is classified under the type of service code E, which represents enteral/parenteral nutrients and supplies.

1. What is HCPCS E2389?

HCPCS code E2389 is used to identify a specific power wheelchair accessory, which is a foam caster tire. This code is only applicable for replacement purposes and can be used for any size of foam caster tire. It is important to note that this code does not cover the initial purchase of the power wheelchair or any other accessories.

2. Official Description

The official description of HCPCS code E2389 is “Power wheelchair accessory, foam caster tire, any size, replacement only, each.” This description clearly states that this code is specifically for foam caster tires used as accessories for power wheelchairs. It emphasizes that the purpose of this code is for replacement tires and not for the initial purchase.

3. Procedure

1. When replacing a foam caster tire for a power wheelchair, ensure that the tire being replaced is no longer functional or in need of repair.
2. Identify the appropriate size of the foam caster tire needed for the power wheelchair.
3. Remove the old foam caster tire from the power wheelchair by following the manufacturer’s instructions.
4. Inspect the wheel assembly to ensure it is in good condition and free from any damage or defects.
5. Install the new foam caster tire onto the wheel assembly, following the manufacturer’s instructions.
6. Secure the foam caster tire in place to ensure it is properly attached to the wheel assembly.
7. Test the power wheelchair to ensure that the new foam caster tire is functioning correctly and providing the necessary support and mobility.

4. When to use HCPCS code E2389

HCPCS code E2389 should be used when replacing a foam caster tire for a power wheelchair. It is important to note that this code is only applicable for replacement purposes and cannot be used for the initial purchase of the power wheelchair or any other accessories. The code is not limited to a specific size of foam caster tire, allowing for flexibility in selecting the appropriate replacement tire.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2389, healthcare providers should ensure that the following documentation is included:

• Documentation indicating the medical necessity for the replacement of the foam caster tire.
• Proof of the purchase of the replacement foam caster tire.
• Any additional documentation required by the payer or insurance company.

Providers should also follow the specific billing guidelines set forth by the payer or insurance company to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E2389 was added to the Healthcare Common Procedure Coding System on January 1, 1985. Since its addition, 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 has remained unchanged since its inception, indicating its stability and consistency in the coding system.

7. Medicare and Insurance Coverage

HCPCS code E2389 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. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement for HCPCS code E2389.

8. Examples

Here are five examples of scenarios in which HCPCS code E2389 should be billed:

1. A patient’s power wheelchair has a damaged foam caster tire that needs to be replaced. The provider orders a new foam caster tire and performs the replacement procedure using HCPCS code E2389 for billing.
2. A power wheelchair user requires a larger size foam caster tire for improved stability and maneuverability. The provider orders the appropriate size replacement tire and bills using HCPCS code E2389.
3. During a routine maintenance check, it is discovered that a power wheelchair’s foam caster tire is worn out and no longer providing adequate support. The provider replaces the tire with a new one and uses HCPCS code E2389 for billing.
4. A power wheelchair user accidentally damages their foam caster tire while navigating rough terrain. The provider replaces the tire with a new one and bills using HCPCS code E2389.
5. A power wheelchair’s foam caster tire becomes punctured and cannot be repaired. The provider orders a replacement tire and bills using HCPCS code E2389.