How To Use HCPCS Code E2613

HCPCS code E2613 describes the positioning wheelchair back cushion, posterior, with a width less than 22 inches and any height, including any type of mounting hardware. This code is used to identify the specific type of wheelchair back cushion that is used for positioning purposes. In this article, we will explore the details of HCPCS code E2613, 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 E2613?

HCPCS code E2613 is used to identify the positioning wheelchair back cushion, posterior, with a width less than 22 inches and any height, including any type of mounting hardware. This code is specific to the type of cushion used for positioning purposes in a wheelchair. It is important to use this code accurately to ensure proper documentation and billing for the service provided.

2. Official Description

The official description of HCPCS code E2613 is “Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware.” The short description for this code is “Enteral supp not otherwise c.” It is essential to use the exact official description and short description when documenting and billing for this specific service.

3. Procedure

  1. Ensure that the wheelchair back cushion is designed for posterior positioning.
  2. Measure the width of the cushion to ensure it is less than 22 inches.
  3. Verify that the cushion can be adjusted to any height.
  4. Install the cushion securely using the appropriate mounting hardware.
  5. Ensure that the cushion provides the necessary support and positioning for the wheelchair user.

By following these steps, healthcare providers can properly perform the procedure associated with HCPCS code E2613.

4. When to use HCPCS code E2613

HCPCS code E2613 should be used when providing a positioning wheelchair back cushion that meets the specific criteria outlined in the code description. This code is applicable when the cushion has a width less than 22 inches, can be adjusted to any height, and includes the necessary mounting hardware. It is important to ensure that the cushion is intended for posterior positioning.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2613, healthcare providers should ensure that the documentation supports the use of a positioning wheelchair back cushion with the specified dimensions and features. The documentation should include details about the width, height adjustability, and the inclusion of mounting hardware. Additionally, it is important to document the medical necessity for the use of the cushion for posterior positioning.

6. Historical Information and Code Maintenance

HCPCS code E2613 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. The code has not undergone any maintenance actions, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

HCPCS code E2613 is covered by Medicare and other insurance carriers. The pricing indicator code for this code is 57, which indicates that it is priced by carriers other than Medicare. The multiple pricing indicator code is A, which means that it is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions regarding coverage and reimbursement for HCPCS code E2613.

8. Examples

Here are five examples of when HCPCS code E2613 should be billed:

  1. A patient with a wheelchair requiring a posterior positioning back cushion with a width less than 22 inches and adjustable height.
  2. A wheelchair user who needs a new positioning back cushion that meets the specifications outlined in HCPCS code E2613.
  3. A healthcare facility providing a wheelchair with a positioning back cushion to a patient who requires posterior support.
  4. A wheelchair user who needs a replacement positioning back cushion that meets the specific dimensions and features described in HCPCS code E2613.
  5. A healthcare provider prescribing a positioning back cushion for a patient with specific positioning needs in their wheelchair.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *