How To Use HCPCS Code E2606

HCPCS code E2606 describes the positioning wheelchair seat cushion, specifically those with a width of 22 inches or greater, regardless of the depth. This code is used to identify and bill for the provision of these specialized cushions, which are designed to provide optimal positioning and support for individuals using wheelchairs.

1. What is HCPCS E2606?

HCPCS code E2606 is a specific code used to identify and bill for the positioning wheelchair seat cushion. It is important to note that this code is only applicable for cushions with a width of 22 inches or greater, regardless of the depth. The purpose of this code is to ensure accurate billing and reimbursement for the provision of these specialized cushions.

2. Official Description

The official description of HCPCS code E2606 is “Positioning wheelchair seat cushion, width 22 inches or greater, any depth.” This description clearly specifies the type of cushion and the size requirements for it to be billed under this code. The short description for this code is “Parenteral supp not othrws c,” which provides a brief summary of the code’s purpose.

3. Procedure

  1. Measure the width of the wheelchair seat to ensure it is 22 inches or greater.
  2. Select a positioning wheelchair seat cushion that meets the size requirements.
  3. Properly position the cushion on the wheelchair seat.
  4. Ensure the cushion provides adequate support and positioning for the individual using the wheelchair.
  5. Make any necessary adjustments to the cushion to ensure optimal comfort and positioning.

4. When to use HCPCS code E2606

HCPCS code E2606 should be used when providing a positioning wheelchair seat cushion that meets the specific size requirements. It is important to verify that the cushion has a width of 22 inches or greater before using this code. This code is typically used for individuals who require additional support and positioning while using a wheelchair.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2606, healthcare providers should ensure that the following documentation is included:

  • Documentation of the individual’s need for a positioning wheelchair seat cushion.
  • Documentation of the width of the wheelchair seat and the size of the cushion provided.
  • Any additional documentation supporting the medical necessity of the cushion.

Providers should also follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E2606 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.

7. Medicare and Insurance Coverage

HCPCS code E2606 is eligible for coverage by Medicare and other insurance providers. 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 that it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific coverage and reimbursement guidelines.

8. Examples

Here are five examples of when HCPCS code E2606 should be billed:

  1. A patient with a wheelchair seat width of 24 inches requires a positioning wheelchair seat cushion for improved support and positioning.
  2. An individual with a wheelchair seat width of 22 inches needs a specialized cushion to alleviate pressure points and enhance comfort.
  3. A wheelchair user with a seat width of 26 inches requires a positioning cushion to maintain proper posture and stability.
  4. A patient with a wheelchair seat width of 28 inches needs a cushion that provides optimal positioning and pressure redistribution.
  5. An individual with a wheelchair seat width of 30 inches requires a specialized cushion to accommodate their specific positioning needs.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *