How To Use HCPCS Code E2608

HCPCS code E2608 describes a skin protection and positioning wheelchair seat cushion with a width of 22 inches or greater, and any depth. This code is used to identify a specific type of wheelchair seat cushion that provides both skin protection and proper positioning for individuals with mobility impairments. In this article, we will explore the details of HCPCS code E2608, 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 E2608?

HCPCS code E2608 is used to identify a skin protection and positioning wheelchair seat cushion with a width of 22 inches or greater, and any depth. This code is specific to wheelchair seat cushions that are designed to provide both skin protection and proper positioning for individuals with mobility impairments. It is important to note that this code is not applicable for other types of wheelchair seat cushions or supplies.

2. Official Description

The official description of HCPCS code E2608 is “Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and characteristics of the wheelchair seat cushion identified by this code.

3. Procedure

  1. The provider should assess the individual’s specific needs for a skin protection and positioning wheelchair seat cushion.
  2. Measure the width of the individual’s wheelchair seat to ensure it is 22 inches or greater.
  3. Select a wheelchair seat cushion that provides both skin protection and proper positioning.
  4. Ensure that the selected wheelchair seat cushion meets the depth requirements specified by the individual’s needs.

4. When to use HCPCS code E2608

HCPCS code E2608 should be used when providing a skin protection and positioning wheelchair seat cushion with a width of 22 inches or greater, and any depth. This code is applicable when the individual’s specific needs require a wheelchair seat cushion that provides both skin protection and proper positioning. It is important to ensure that the wheelchair seat cushion meets the width and depth requirements specified by the code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2608, healthcare providers should ensure that the following documentation is included:

  • Documentation supporting the medical necessity of the wheelchair seat cushion
  • Documentation of the individual’s specific needs and requirements
  • Documentation of the width and depth measurements of the wheelchair seat
  • Documentation of the selection and provision of the wheelchair seat cushion

Providers should follow the appropriate billing guidelines and submit the necessary documentation to ensure accurate and timely reimbursement for the service or supply.

6. Historical Information and Code Maintenance

HCPCS code E2608 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 E2608 is covered by Medicare and other insurance carriers. 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. 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 E2608 should be billed:

  1. An individual with a mobility impairment requires a wheelchair seat cushion that provides both skin protection and proper positioning. The width of their wheelchair seat is 24 inches, and the selected wheelchair seat cushion meets their specific depth requirements.
  2. A healthcare provider prescribes a skin protection and positioning wheelchair seat cushion for a patient with a width of 22 inches or greater, and any depth. The wheelchair seat cushion is provided to the patient and documented accordingly.
  3. An individual with a mobility impairment requires a wheelchair seat cushion that provides both skin protection and proper positioning. The width of their wheelchair seat is 26 inches, and the selected wheelchair seat cushion meets their specific depth requirements.
  4. A healthcare provider assesses a patient’s needs and determines that a skin protection and positioning wheelchair seat cushion with a width of 22 inches or greater, and any depth, is necessary. The wheelchair seat cushion is provided to the patient and documented accordingly.
  5. An individual with a mobility impairment requires a wheelchair seat cushion that provides both skin protection and proper positioning. The width of their wheelchair seat is 28 inches, and the selected wheelchair seat cushion meets their specific depth requirements.

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