How To Use HCPCS Code E2619

HCPCS code E2619 describes a replacement cover for a wheelchair seat cushion or back cushion. This code is used to identify the specific item that is being replaced and is typically used in the context of durable medical equipment (DME) billing. In this article, we will explore the details of HCPCS code E2619, 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 E2619?

HCPCS code E2619 is used to identify a replacement cover for a wheelchair seat cushion or back cushion. This code is specific to the item being replaced and is used in the context of DME billing. It allows healthcare providers and insurers to accurately document and bill for the replacement cover.

2. Official Description

The official description of HCPCS code E2619 is “Replacement cover for wheelchair seat cushion or back cushion, each.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

  1. Remove the existing cover from the wheelchair seat cushion or back cushion.
  2. Ensure that the replacement cover is the appropriate size and design for the specific wheelchair seat cushion or back cushion.
  3. Align the replacement cover with the cushion and secure it in place using the provided fasteners or straps.
  4. Ensure that the replacement cover is properly fitted and does not impede the functionality or comfort of the wheelchair seat cushion or back cushion.
  5. Document the replacement of the cover in the patient’s medical records, including the date of replacement and any relevant details.

4. When to use HCPCS code E2619

HCPCS code E2619 should be used when a healthcare provider is replacing the cover of a wheelchair seat cushion or back cushion. This code is specific to the replacement cover and should not be used for other types of supplies or equipment. It is important to ensure that the replacement cover is medically necessary and meets the patient’s specific needs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2619, healthcare providers should ensure that the replacement cover is documented in the patient’s medical records. This documentation should include the reason for the replacement, the date of replacement, and any relevant details. Additionally, providers should follow the billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E2619 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. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code E2619 is eligible for coverage 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 it is not applicable as HCPCS priced under one methodology. Healthcare providers should verify coverage and reimbursement policies with the specific insurance carrier to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code E2619 should be billed:

  1. A patient’s wheelchair seat cushion cover is worn out and needs to be replaced due to normal wear and tear.
  2. A patient’s wheelchair back cushion cover is damaged and needs to be replaced due to an accident.
  3. A patient’s wheelchair seat cushion cover is torn and needs to be replaced to prevent further discomfort or pressure sores.
  4. A patient’s wheelchair back cushion cover is stained and needs to be replaced for hygiene reasons.
  5. A patient’s wheelchair seat cushion cover is no longer providing adequate support and needs to be replaced to ensure proper positioning and comfort.

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