How To Use HCPCS Code E2607

HCPCS code E2607 describes a skin protection and positioning wheelchair seat cushion that is less than 22 inches in width and can be of any depth. This code is used to identify a specific type of wheelchair seat cushion that provides both skin protection and positioning support for individuals with mobility impairments. In this article, we will explore the details of HCPCS code E2607, 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 E2607?

HCPCS code E2607 is used to identify a skin protection and positioning wheelchair seat cushion that is less than 22 inches in width and can be of any depth. This code is specifically designed to provide support and comfort for individuals who use wheelchairs and require additional cushioning to prevent skin breakdown and promote proper positioning.

2. Official Description

The official description of HCPCS code E2607 is “Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. Measure the width of the wheelchair seat to ensure it is less than 22 inches.
2. Select a wheelchair seat cushion that provides both skin protection and positioning support.

4. When to use HCPCS code E2607

HCPCS code E2607 should be used when providing a skin protection and positioning wheelchair seat cushion that is less than 22 inches in width and can be of any depth. This code is applicable for individuals who require additional support and comfort while using a wheelchair.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2607, healthcare providers should ensure that the following documentation is included:

• Prescription or order for the wheelchair seat cushion
• Documentation of the individual’s medical necessity for the cushion
• Proof of delivery and/or installation of the cushion
• Any additional supporting documentation as required by the payer

6. Historical Information and Code Maintenance

HCPCS code E2607 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.

7. Medicare and Insurance Coverage

HCPCS code E2607 is covered 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 it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E2607 should be billed:

1. A patient with a mobility impairment requires a wheelchair seat cushion that provides both skin protection and positioning support. The cushion is less than 22 inches in width and can be of any depth.
2. An individual with a history of pressure ulcers needs a wheelchair seat cushion that offers skin protection and proper positioning. The cushion is less than 22 inches in width and can be of any depth.
3. A wheelchair user with a spinal cord injury requires a specialized seat cushion that prevents pressure sores and promotes proper alignment. The cushion is less than 22 inches in width and can be of any depth.
4. A patient with a musculoskeletal disorder needs a wheelchair seat cushion that provides both comfort and support. The cushion is less than 22 inches in width and can be of any depth.
5. An individual with a history of poor circulation requires a wheelchair seat cushion that improves blood flow and reduces the risk of skin breakdown. The cushion is less than 22 inches in width and can be of any depth.