How To Use HCPCS Code E2601

HCPCS code E2601 describes a general use wheelchair seat cushion that is less than 22 inches in width and can have any depth. This code is used to identify and bill for the provision of enteral support that is not otherwise classified. In this article, we will explore the details of HCPCS code E2601, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS E2601?

HCPCS code E2601 is used to identify a general use wheelchair seat cushion that is specifically designed for individuals with mobility impairments. This cushion is intended to provide comfort and support to the user while seated in a wheelchair. It is important to note that this code is only applicable for seat cushions with a width less than 22 inches and any depth.

2. Official Description

The official description of HCPCS code E2601 is “General use wheelchair seat cushion, width less than 22 inches, any depth.” The short description for this code is “Enteral supp not otherwise c.” This description accurately defines the specific type of wheelchair seat cushion that is covered by this code.

3. Procedure

  1. Measure the width of the wheelchair seat to ensure it is less than 22 inches.
  2. Select an appropriate general use wheelchair seat cushion that meets the specific needs of the individual.
  3. Position the wheelchair seat cushion on the seat of the wheelchair.
  4. Secure the wheelchair seat cushion in place to prevent shifting or movement during use.
  5. Instruct the individual on the proper use and maintenance of the wheelchair seat cushion.

4. When to use HCPCS code E2601

HCPCS code E2601 should be used when providing a general use wheelchair seat cushion that meets the specified criteria. This code is applicable for individuals who require enteral support and do not have any other specific requirements or conditions that would necessitate the use of a different type of wheelchair seat cushion. It is important to review the individual’s medical records and consult with the prescribing healthcare provider to ensure that the use of this code is appropriate for the specific case.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2601, healthcare providers should ensure that the following documentation requirements are met:

  • A detailed description of the wheelchair seat cushion provided, including the brand, model, and specifications.
  • The date of service and duration of use, if applicable.
  • The individual’s medical records supporting the medical necessity of the wheelchair seat cushion.
  • Any additional documentation required by the payer or insurance company.

6. Historical Information and Code Maintenance

HCPCS code E2601 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 E2601 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 for this code is A, which means it is not applicable as HCPCS priced under one methodology. It is important to verify coverage and reimbursement policies with the specific insurance provider or Medicare to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code E2601 should be billed:

  1. A patient with a mobility impairment requires a general use wheelchair seat cushion that is less than 22 inches in width and any depth.
  2. An individual with enteral support needs a wheelchair seat cushion that provides comfort and support during extended periods of sitting.
  3. A healthcare provider prescribes a general use wheelchair seat cushion for a patient with a documented medical condition that requires additional support and pressure relief.
  4. A wheelchair-bound individual requires a replacement wheelchair seat cushion that meets the specified criteria.
  5. A patient with a mobility impairment is transitioning from a hospital setting to home and requires a wheelchair seat cushion for continued support and comfort.

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