How To Use HCPCS Code E2392

HCPCS code E2392 describes a power wheelchair accessory, specifically a solid (rubber/plastic) caster tire with an integrated wheel. This code is used for replacement purposes only, and it applies to any size of the caster tire. It was added to the Healthcare Common Procedure Coding System on January 1, 1985, and its action code indicates that no maintenance has been performed on this code. The effective date for this code is January 1, 1996.

1. What is HCPCS E2392?

HCPCS code E2392 is used to identify a specific power wheelchair accessory, which is a solid caster tire with an integrated wheel. This code is intended for replacement purposes only and can be used for any size of the caster tire. It is important to note that this code does not cover the entire power wheelchair but rather a specific accessory for it.

2. Official Description

The official description of HCPCS code E2392 is “Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. To replace a power wheelchair’s caster tire with the solid (rubber/plastic) caster tire described by HCPCS code E2392, the healthcare provider should follow these steps:
2. Ensure that the power wheelchair is in a safe and stable position.
3. Identify the caster tire that needs replacement.
4. Remove any fasteners or screws holding the old caster tire in place.
5. Gently pull the old caster tire off the wheelchair’s caster assembly.
6. Inspect the caster assembly for any damage or wear that may require additional maintenance.
7. Take the new solid caster tire and align it with the caster assembly.
8. Push the new caster tire onto the caster assembly until it is securely in place.
9. Reattach any fasteners or screws to ensure the new caster tire is properly secured.
10. Test the wheelchair to ensure that the new caster tire is functioning correctly.

4. When to use HCPCS code E2392

HCPCS code E2392 should be used when a power wheelchair’s solid caster tire with an integrated wheel needs to be replaced. It is important to note that this code is specifically for replacement purposes only and should not be used for any other type of service or supply.

5. Billing Guidelines and Documentation Requirements

When billing for the replacement of a power wheelchair’s caster tire using HCPCS code E2392, healthcare providers should ensure that the following documentation is included:

• A detailed description of the service provided, including the specific power wheelchair model and the size of the caster tire being replaced.
• The date of service and the duration of the replacement procedure.
• Any relevant medical records or notes indicating the need for the replacement.
• Proof of medical necessity, such as a prescription or a physician’s order.

6. Historical Information and Code Maintenance

HCPCS code E2392 was added to the Healthcare Common Procedure Coding System on January 1, 1985. Since its addition, no maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important to note that this code has an effective date of January 1, 1996, and has remained unchanged since then.

7. Medicare and Insurance Coverage

HCPCS code E2392 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, indicating that it is not applicable as HCPCS priced under one methodology. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2130 for further guidance on billing and coverage specifics.

8. Examples

Here are five examples of scenarios where HCPCS code E2392 should be billed:

1. A patient’s power wheelchair has a damaged caster tire, and a replacement is necessary to ensure safe mobility.
2. A power wheelchair user requires a larger or smaller caster tire size for improved maneuverability.
3. The existing caster tire on a power wheelchair is worn out and no longer provides adequate traction.
4. A power wheelchair user prefers a solid caster tire over other types of caster tires for personal comfort or stability reasons.
5. A power wheelchair’s caster tire has become punctured or damaged beyond repair, necessitating a replacement.