How To Use HCPCS Code E2391

HCPCS code E2391 describes a power wheelchair accessory, specifically a solid (rubber/plastic) caster tire that is removable. This code is used for replacement purposes only, and it applies to any size of caster tire. It was added to the Healthcare Common Procedure Coding System on January 01, 1985, and its action effective date is January 01, 1996. HCPCS code E2391 falls under the category of enteral/parenteral nutrients/supplies, and it is covered under special instructions (HCPCS Coverage Code D).

1. What is HCPCS E2391?

HCPCS code E2391 is used to identify a specific power wheelchair accessory, which is a solid (rubber/plastic) caster tire that can be removed. This code is intended for replacement purposes only and can be used for any size of caster tire. It is important to note that HCPCS codes are used by medical coders to accurately report the services and supplies provided to patients.

2. Official Description

The official description of HCPCS code E2391 is “Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. When replacing a power wheelchair’s caster tire, ensure that the tire being used is a solid (rubber/plastic) caster tire.
2. Remove the old caster tire from the power wheelchair by following the manufacturer’s instructions.
3. Inspect the replacement caster tire to ensure it is in good condition and free from any defects.
4. Attach the replacement caster tire to the power wheelchair according to the manufacturer’s guidelines.
5. Test the power wheelchair to ensure that the replacement caster tire is functioning properly.

4. When to use HCPCS code E2391

HCPCS code E2391 should be used when a power wheelchair’s solid (rubber/plastic) caster tire needs to be replaced. It is important to note that this code is specifically for replacement purposes only and should not be used for initial installation or any other services or supplies related to power wheelchairs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2391, healthcare providers should ensure that the following documentation is included:

• Documentation supporting the medical necessity of the replacement caster tire.
• Documentation indicating the size of the replacement caster tire.
• Documentation supporting the need for a solid (rubber/plastic) caster tire.
• Any other relevant documentation as required by the payer.

6. Historical Information and Code Maintenance

HCPCS code E2391 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an action effective date of January 01, 1996, and there have been no maintenance actions taken for this code (indicated by the action code N). The code falls under the category of enteral/parenteral nutrients/supplies and is covered under special instructions (HCPCS Coverage Code D).

7. Medicare and Insurance Coverage

HCPCS code E2391 is eligible for coverage under Medicare and other insurance providers. 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, indicating that it is not applicable as HCPCS is 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 some examples of scenarios where HCPCS code E2391 would be used:

1. A patient’s power wheelchair has a damaged or worn-out solid (rubber/plastic) caster tire, and a replacement tire of the same size is needed.
2. A power wheelchair’s caster tire needs to be replaced due to a manufacturing defect, and a solid (rubber/plastic) caster tire is required.
3. A patient’s power wheelchair is being serviced, and the solid (rubber/plastic) caster tire needs to be replaced as part of the maintenance process.
4. A power wheelchair’s caster tire is lost or stolen, and a replacement solid (rubber/plastic) caster tire is necessary.
5. A patient’s power wheelchair is being upgraded, and the existing caster tire needs to be replaced with a solid (rubber/plastic) caster tire.