How To Use HCPCS Code E2394

HCPCS code E2394 describes a power wheelchair accessory, specifically the drive wheel excluding the tire. This code is used for replacement purposes only, and it is important for medical coders to understand its meaning and usage in order to accurately bill for this particular item.

1. What is HCPCS E2394?

HCPCS code E2394 is used to identify a power wheelchair accessory, specifically the drive wheel excluding the tire. This code is used when a replacement drive wheel is needed for a power wheelchair. It is important to note that this code does not include the tire, as that is billed separately. The purpose of this code is to accurately identify and bill for the replacement of the drive wheel component of a power wheelchair.

2. Official Description

The official description of HCPCS code E2394 is “Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each.” The short description for this code is “Enteral supp not otherwise c.” This description clearly specifies that this code is used for a power wheelchair accessory, specifically the drive wheel, excluding the tire. It is important to note that this code is for replacement purposes only.

3. Procedure

1. When a power wheelchair requires a replacement drive wheel, the healthcare provider will assess the need for the replacement.
2. The provider will then order the replacement drive wheel, ensuring that it is the correct size for the power wheelchair.
3. Once the replacement drive wheel is received, the provider will remove the old drive wheel from the power wheelchair.
4. The new replacement drive wheel will be installed, ensuring that it is securely attached to the power wheelchair.
5. Finally, the provider will test the power wheelchair to ensure that the replacement drive wheel is functioning properly.

4. When to use HCPCS code E2394

HCPCS code E2394 should be used when a power wheelchair requires a replacement drive wheel. It is important to note that this code is specifically for replacement purposes only. The drive wheel must be excluded from the tire, as the tire is billed separately. This code should not be used for any other purpose or component of a power wheelchair.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2394, healthcare providers must ensure that the replacement drive wheel is documented in the patient’s medical record. The documentation should include the reason for the replacement, the size of the replacement drive wheel, and any other relevant information. Additionally, the provider should include the date of service and the quantity of replacement drive wheels provided.

6. Historical Information and Code Maintenance

HCPCS code E2394 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. 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 E2394 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. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions on billing for this code.

8. Examples

Here are five examples of when HCPCS code E2394 should be billed:

1. A patient’s power wheelchair requires a replacement drive wheel due to wear and tear.
2. A power wheelchair is being upgraded, and a new drive wheel is needed to accommodate the changes.
3. A power wheelchair is damaged in an accident, and the drive wheel needs to be replaced.
4. A power wheelchair is being serviced, and the drive wheel is found to be faulty and in need of replacement.
5. A power wheelchair user requests a larger or smaller drive wheel size, and a replacement is necessary.