How To Use HCPCS Code E2615

HCPCS code E2615 describes a positioning wheelchair back cushion that is posterior-lateral in nature. This cushion is designed to provide support and stability to individuals using wheelchairs with a width of less than 22 inches. It includes any necessary mounting hardware for proper installation.

1. What is HCPCS E2615?

HCPCS code E2615 is used to identify a specific type of wheelchair back cushion that is positioned posterior-laterally. It is intended for use with wheelchairs that have a width of less than 22 inches. This code is used to ensure accurate billing and reimbursement for the provision of this specific type of cushion.

2. Official Description

The official description of HCPCS code E2615 is “Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

  1. Ensure that the wheelchair being used has a width of less than 22 inches.
  2. Select a positioning wheelchair back cushion that is designed to provide posterior-lateral support.
  3. Install the cushion onto the wheelchair using the appropriate mounting hardware.
  4. Ensure that the cushion is securely attached and provides the necessary support and stability for the individual using the wheelchair.

4. When to use HCPCS code E2615

HCPCS code E2615 should be used when providing a positioning wheelchair back cushion that is posterior-lateral in nature for individuals using wheelchairs with a width of less than 22 inches. It is important to accurately document and code for the provision of this specific type of cushion to ensure appropriate reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2615, healthcare providers should ensure that the following documentation requirements are met:

  • Documentation of the individual’s medical necessity for a positioning wheelchair back cushion.
  • Documentation of the wheelchair’s width being less than 22 inches.
  • Documentation of the specific type of cushion provided, including any necessary mounting hardware.
  • Documentation of the installation and proper attachment of the cushion to the wheelchair.

6. Historical Information and Code Maintenance

HCPCS code E2615 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 E2615 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 that it is not applicable as HCPCS priced under one methodology. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2130 for specific guidance on billing and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code E2615 should be billed:

  1. A patient with a wheelchair width of 20 inches requires a posterior-lateral positioning wheelchair back cushion with mounting hardware.
  2. An individual with a wheelchair width of 18 inches needs a specific type of cushion that provides posterior-lateral support.
  3. A wheelchair user with a width of 16 inches requires a positioning wheelchair back cushion that is posterior-lateral in nature.
  4. A patient with a wheelchair width of 22 inches does not meet the criteria for HCPCS code E2615 and should be billed using a different code.
  5. An individual with a wheelchair width of 19 inches needs a posterior-lateral positioning wheelchair back cushion with mounting hardware.

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