How To Use HCPCS Code E2612

HCPCS code E2612 describes a general use wheelchair back cushion that is 22 inches or greater in width and can be of any height. This code also includes any type of mounting hardware that may be required. It is important for medical coders to understand the specific meaning and usage of this code in order to accurately document and bill for the services provided.

1. What is HCPCS E2612?

HCPCS code E2612 is used to identify a general use wheelchair back cushion that is 22 inches or greater in width. This cushion is designed to provide support and comfort to individuals who use wheelchairs. The code also includes any necessary mounting hardware that may be required for proper installation.

2. Official Description

The official description of HCPCS code E2612 is “General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. Measure the width of the wheelchair back to determine if it is 22 inches or greater.
2. Select a general use wheelchair back cushion that meets the width requirement.
3. Ensure that the cushion is of appropriate height for the individual’s needs.
4. If necessary, attach any mounting hardware included with the cushion to secure it to the wheelchair.
5. Instruct the individual on the proper use and maintenance of the wheelchair back cushion.

4. When to use HCPCS code E2612

HCPCS code E2612 should be used when providing a general use wheelchair back cushion that is 22 inches or greater in width. This code is applicable for individuals who require additional support and comfort while using a wheelchair. It is important to ensure that the cushion meets the specific width requirement and is suitable for the individual’s needs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2612, healthcare providers should ensure that the following documentation is included:

• Documentation of the individual’s need for a wheelchair back cushion.
• Documentation of the specific width and height requirements.
• Documentation of any mounting hardware included with the cushion.
• Documentation of the individual’s instruction on the proper use and maintenance of the cushion.

6. Historical Information and Code Maintenance

HCPCS code E2612 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 E2612 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 that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E2612 should be billed:

1. A patient with a wheelchair that has a back width of 24 inches requires a general use wheelchair back cushion.
2. An individual who uses a wheelchair for mobility needs a replacement wheelchair back cushion that is 22 inches wide.
3. A wheelchair user with a back width of 26 inches needs a new cushion for added comfort and support.
4. A patient with a wheelchair that has a back width of 23 inches requires a general use wheelchair back cushion with mounting hardware.
5. An individual who uses a wheelchair for daily activities needs a wheelchair back cushion that is 22 inches or greater in width.