How To Use HCPCS Code E2614

HCPCS code E2614 describes the positioning wheelchair back cushion, specifically designed for the posterior region. This code is used for cushions with a width of 22 inches or greater, and it includes any necessary mounting hardware. In this article, we will explore the details of HCPCS code E2614, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS E2614?

HCPCS code E2614 is used to identify the positioning wheelchair back cushion for the posterior region. It is specifically designed to provide support and comfort for individuals using wheelchairs. The cushion has a width of 22 inches or greater and includes any necessary mounting hardware. This code is essential for accurately documenting and billing for the provision of these cushions.

2. Official Description

The official description of HCPCS code E2614 is “Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. Ensure that the wheelchair back cushion is specifically designed for the posterior region.
2. Measure the width of the cushion to ensure it is 22 inches or greater.
3. Verify that the cushion includes any necessary mounting hardware.
4. Properly position the cushion on the wheelchair, ensuring it provides adequate support and comfort for the individual.

4. When to use HCPCS code E2614

HCPCS code E2614 should be used when providing positioning wheelchair back cushions for the posterior region. It is important to use this code only when the cushion meets the specific criteria outlined in the official description, including the width of 22 inches or greater and the inclusion of any necessary mounting hardware.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2614, healthcare providers should ensure that the following documentation requirements are met:

• Medical records should clearly indicate the need for a positioning wheelchair back cushion for the posterior region.
• The width of the cushion should be documented as 22 inches or greater.
• Any necessary mounting hardware should be documented.

Providers should also follow the appropriate billing guidelines and submit the claim with the correct coding information to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E2614 was added to the Healthcare Common Procedure Coding System on January 1, 1985. It has an effective date of January 1, 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 system.

7. Medicare and Insurance Coverage

HCPCS code E2614 is covered by Medicare and other insurance providers. The pricing indicator code 57 indicates that the code is priced by carriers other than Medicare. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. Providers should refer to 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 E2614 should be billed:

1. A patient with a documented need for a positioning wheelchair back cushion for the posterior region, with a cushion width of 24 inches and mounting hardware included.
2. An individual requiring a wheelchair back cushion for the posterior region, with a cushion width of 22 inches and mounting hardware included.
3. A patient with a documented medical condition necessitating a positioning wheelchair back cushion for the posterior region, with a cushion width of 26 inches and mounting hardware included.
4. An individual with a disability requiring a wheelchair back cushion for the posterior region, with a cushion width of 22 inches and mounting hardware included.
5. A patient with a documented need for a positioning wheelchair back cushion for the posterior region, with a cushion width of 28 inches and mounting hardware included.