How To Use HCPCS Code E2610

HCPCS code E2610 describes a wheelchair seat cushion that is powered. This code is used to identify and bill for the specific type of cushion that is designed to provide support and comfort to individuals who use wheelchairs. In this article, we will explore the details of HCPCS code E2610, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and examples of when this code should be billed.

1. What is HCPCS E2610?

HCPCS code E2610 is used to identify a wheelchair seat cushion that is powered. This means that the cushion is equipped with a power source, such as a battery, to provide additional support and comfort to individuals who use wheelchairs. It is important to note that this code specifically refers to the cushion itself, not the wheelchair or any other accessories.

2. Official Description

The official description of HCPCS code E2610 is “Wheelchair seat cushion, powered.” The short description for this code is “Enteral supp not otherwise c.” This description accurately represents the purpose and function of the cushion, indicating that it is intended for use with wheelchairs and provides powered support.

3. Procedure

  1. Ensure that the wheelchair is compatible with a powered seat cushion.
  2. Select the appropriate powered seat cushion based on the individual’s needs and preferences.
  3. Install the powered seat cushion onto the wheelchair according to the manufacturer’s instructions.
  4. Ensure that the power source, such as a battery, is properly connected and functioning.
  5. Instruct the individual on how to operate and adjust the powered seat cushion for optimal comfort and support.

4. When to use HCPCS code E2610

HCPCS code E2610 should be used when billing for a powered wheelchair seat cushion. It is important to ensure that the cushion meets the specific requirements outlined in the code description. This code is typically used for individuals who require additional support and comfort due to medical conditions or disabilities that affect their ability to sit for extended periods.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2610, healthcare providers should ensure that the following documentation requirements are met:

  • A detailed description of the powered seat cushion provided
  • Documentation supporting medical necessity for the cushion
  • Proof of purchase or lease agreement, if applicable
  • Any additional documentation required by the payer

6. Historical Information and Code Maintenance

HCPCS code E2610 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 E2610 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 indicates that the code is not applicable as HCPCS priced under one methodology. It is important to check with individual payers for specific coverage and reimbursement guidelines.

8. Examples

Here are five examples of when HCPCS code E2610 should be billed:

  1. A patient with a spinal cord injury requiring a powered seat cushion to prevent pressure ulcers.
  2. An individual with a degenerative condition that causes discomfort and requires a powered cushion for pain management.
  3. A wheelchair user with a history of skin breakdown who needs a powered cushion for pressure redistribution.
  4. A patient with a neuromuscular disorder who requires a powered cushion to improve sitting stability.
  5. An individual with a congenital disability who needs a powered cushion to accommodate postural support needs.

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