How To Use HCPCS Code E2611

HCPCS code E2611 describes a general use wheelchair back cushion that is less than 22 inches in width and can be of any height. This code includes any type of mounting hardware that may be required. It falls under the category of enteral supplies that are not otherwise classified.

1. What is HCPCS E2611?

HCPCS code E2611 is used to identify a specific type of wheelchair back cushion that is designed for general use. It is important to note that this code is specifically for cushions that are less than 22 inches in width and can be of any height. The code also includes any necessary mounting hardware that may be required for the cushion.

2. Official Description

The official description of HCPCS code E2611 is “General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

  1. Measure the width of the wheelchair back cushion to ensure it is less than 22 inches.
  2. Determine the desired height of the cushion based on the individual’s needs.
  3. Select the appropriate mounting hardware, if needed, to secure the cushion to the wheelchair.
  4. Install the cushion onto the wheelchair, ensuring it is securely attached.

4. When to use HCPCS code E2611

HCPCS code E2611 should be used when billing for a general use wheelchair back cushion that meets the specific criteria outlined in the code description. It is important to ensure that the cushion is less than 22 inches in width and can be of any height. Additionally, any necessary mounting hardware should be included in the billing using this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2611, healthcare providers should ensure that the necessary documentation is in place to support the claim. This may include documentation of the patient’s need for a wheelchair back cushion, measurements of the cushion, and any specific requirements for mounting hardware. Providers should also follow the appropriate billing guidelines set forth by Medicare or other insurance carriers.

6. Historical Information and Code Maintenance

HCPCS code E2611 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996, and 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 E2611 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 is A, which means it is not applicable as HCPCS priced under one methodology. Providers should consult the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code E2611 should be billed:

  1. A patient requires a general use wheelchair back cushion that is less than 22 inches in width and can be of any height. The cushion is attached to the wheelchair using the appropriate mounting hardware.
  2. An individual with a wheelchair needs a replacement back cushion that meets the specifications outlined in HCPCS code E2611.
  3. A healthcare facility purchases wheelchair back cushions for their inventory, and the cushions meet the criteria specified in HCPCS code E2611.
  4. A durable medical equipment supplier provides a general use wheelchair back cushion to a patient, and the cushion meets the requirements of HCPCS code E2611.
  5. A wheelchair manufacturer includes a general use back cushion with their wheelchair models, and the cushion meets the specifications of HCPCS code E2611.

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