How To Use HCPCS Code E2397

HCPCS code E2397 describes a power wheelchair accessory, specifically a lithium-based battery. This code is used to identify and bill for the provision of this specific accessory in the healthcare setting. In this article, we will explore the details of HCPCS code E2397, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage. We will also provide examples to further illustrate the appropriate use of this code.

1. What is HCPCS E2397?

HCPCS code E2397 is a specific code used to identify a power wheelchair accessory, which in this case is a lithium-based battery. This code is essential for accurately documenting and billing for the provision of this accessory in medical claims. It allows healthcare providers and insurance companies to track and process the use of power wheelchair accessories, ensuring proper reimbursement and accountability.

2. Official Description

The official description of HCPCS code E2397 is “Power wheelchair accessory, lithium-based battery, each.” This description clearly indicates that this code is specifically for a power wheelchair accessory that is a lithium-based battery. The short description of this code is “Enteral supp not otherwise c,” which provides additional information about the nature of the accessory.

3. Procedure

1. Ensure that the patient requires a power wheelchair and has a medical need for a lithium-based battery as an accessory.
2. Select the appropriate power wheelchair model that is compatible with a lithium-based battery.
3. Ensure that the patient is educated on the proper use and maintenance of the power wheelchair and the lithium-based battery.

4. When to use HCPCS code E2397

HCPCS code E2397 should be used when providing a power wheelchair accessory that is a lithium-based battery. It is important to ensure that the patient meets the criteria for a power wheelchair and has a medical need for this specific accessory. The use of this code should be supported by appropriate documentation, including the patient’s medical records and any relevant prescriptions or orders.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2397, healthcare providers should ensure that the following guidelines and documentation requirements are met:

• Include the appropriate HCPCS code E2397 on the claim form or electronic submission.
• Provide detailed documentation supporting the medical necessity of the power wheelchair and the lithium-based battery accessory.
• Include any relevant prescriptions, orders, or medical records that justify the use of this specific accessory.
• Ensure that the billing information is accurate and complete, including the quantity and cost of the lithium-based battery.

6. Historical Information and Code Maintenance

HCPCS code E2397 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions to the code since its addition. It is important for medical coders and billers to stay updated on any changes or updates to HCPCS codes to ensure accurate and compliant billing practices.

7. Medicare and Insurance Coverage

HCPCS code E2397 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that this code is priced by carriers using other methodologies. The multiple pricing indicator code A signifies that this code 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 and reimbursement for HCPCS code E2397.

8. Examples

Here are five examples illustrating when HCPCS code E2397 should be billed:

1. A patient with a documented medical need for a power wheelchair is provided with a power wheelchair that includes a lithium-based battery.
2. A physician prescribes a power wheelchair with a lithium-based battery for a patient with limited mobility due to a medical condition.
3. A power wheelchair is rented for a patient recovering from surgery, and the rental includes a lithium-based battery as an accessory.
4. A patient’s power wheelchair requires a replacement lithium-based battery due to wear and tear, and the new battery is provided.
5. A power wheelchair is provided to a patient for long-term use, and the lithium-based battery is included as part of the initial setup.