How To Use HCPCS Code E2398

HCPCS code E2398 describes a wheelchair accessory known as dynamic positioning hardware for the back. This code is used to identify and bill for the specific equipment used to provide dynamic positioning support for wheelchair users. In this article, we will explore the details of HCPCS code E2398, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS E2398?

HCPCS code E2398 is used to identify a wheelchair accessory called dynamic positioning hardware for the back. This equipment is designed to provide support and positioning for wheelchair users, allowing them to maintain proper posture and reduce the risk of pressure sores or discomfort. It is an essential component for individuals who require additional support and stability while using a wheelchair.

2. Official Description

The official description of HCPCS code E2398 is “Wheelchair accessory, dynamic positioning hardware for back.” The short description for this code is “Enteral supp not otherwise c.” This description accurately represents the specific equipment covered by this code.

3. Procedure

1. The provider should assess the patient’s specific needs and determine if dynamic positioning hardware for the back is necessary.
2. The provider should select the appropriate dynamic positioning hardware based on the patient’s requirements and wheelchair specifications.
3. The provider should properly install and secure the dynamic positioning hardware onto the wheelchair’s backrest.
4. The provider should educate the patient on how to use and adjust the dynamic positioning hardware for optimal comfort and support.

4. When to use HCPCS code E2398

HCPCS code E2398 should be used when billing for the provision of dynamic positioning hardware for the back of a wheelchair. This code is applicable when the equipment is medically necessary to provide additional support and positioning for the patient. It is important to ensure that the patient meets the eligibility criteria and guidelines for using this code, as determined by the payer.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2398, healthcare providers should ensure that the following documentation requirements are met:

• A detailed description of the dynamic positioning hardware provided
• The patient’s medical records supporting the medical necessity of the equipment
• The date of service and duration of use, if applicable
• The provider’s name, credentials, and contact information

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

6. Historical Information and Code Maintenance

HCPCS code E2398 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 since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code E2398 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E2398 should be billed:

1. A patient with a spinal cord injury requires dynamic positioning hardware for their wheelchair to maintain proper posture and prevent pressure sores.
2. An individual with a neuromuscular disorder needs additional support and stability provided by dynamic positioning hardware for their wheelchair.
3. A patient with a degenerative condition requires dynamic positioning hardware to alleviate discomfort and maintain proper alignment while using a wheelchair.
4. An elderly individual with limited mobility needs the added support and positioning provided by dynamic positioning hardware for their wheelchair.
5. A child with a physical disability requires dynamic positioning hardware to ensure proper posture and support during wheelchair use.