How To Use HCPCS Code E2620

HCPCS code E2620 describes the positioning wheelchair back cushion with planar back and lateral supports. This code is used to identify a specific type of wheelchair cushion that provides support and positioning for individuals with mobility impairments. In this article, we will explore the details of HCPCS code E2620, 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 E2620?

HCPCS code E2620 is used to identify a positioning wheelchair back cushion with planar back and lateral supports. This cushion is designed to provide support and stability to individuals using wheelchairs. It is typically used for individuals with mobility impairments who require additional support and positioning to maintain proper posture and prevent discomfort or pressure ulcers.

2. Official Description

The official description of HCPCS code E2620 is “Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

  1. Measure the width of the wheelchair back to ensure it is less than 22 inches.
  2. Select a positioning wheelchair back cushion with a planar back and lateral supports.
  3. Ensure the cushion is compatible with the wheelchair and can be securely mounted.
  4. Install the cushion onto the wheelchair, following the manufacturer’s instructions.
  5. Adjust the cushion to provide proper support and positioning for the individual.

4. When to use HCPCS code E2620

HCPCS code E2620 should be used when providing a positioning wheelchair back cushion with planar back and lateral supports to a patient. This code is applicable when the width of the cushion is less than 22 inches and it includes any necessary mounting hardware. It is important to ensure that the cushion meets the specific requirements outlined in the code description before using this code for billing purposes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2620, healthcare providers should ensure that the following documentation requirements are met:

  • Medical necessity for the positioning wheelchair back cushion
  • Prescription or order for the cushion from a qualified healthcare professional
  • Documentation of the patient’s condition and need for the cushion
  • Proof of delivery or dispensing of the cushion

Providers should also follow the billing guidelines set forth by the payer, including any specific modifiers or additional documentation that may be required.

6. Historical Information and Code Maintenance

HCPCS code E2620 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 E2620 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 it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for additional guidance on billing and coverage for this code.

8. Examples

Here are five examples of when HCPCS code E2620 should be billed:

  1. A patient with a mobility impairment requires a positioning wheelchair back cushion with planar back and lateral supports to maintain proper posture and prevent discomfort.
  2. An individual with a spinal cord injury needs a wheelchair cushion that provides additional support and stability for their back.
  3. A patient with a degenerative condition requires a specialized wheelchair cushion to alleviate pressure on their spine and provide optimal positioning.
  4. An elderly individual with limited mobility needs a wheelchair cushion that offers both comfort and support during extended periods of sitting.
  5. A child with a physical disability requires a wheelchair cushion that can be adjusted to accommodate their growth and changing positioning needs.

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