How To Use HCPCS Code E2622

HCPCS code E2622 describes a skin protection wheelchair seat cushion that is adjustable and has a width of less than 22 inches. This cushion is designed to provide comfort and support to individuals who use wheelchairs for mobility. It is an essential component in ensuring proper seating posture and preventing pressure ulcers or skin breakdown.

1. What is HCPCS E2622?

HCPCS code E2622 is used to identify a specific type of wheelchair seat cushion. It is categorized as a skin protection cushion, which means it is designed to reduce the risk of pressure ulcers or skin breakdown for wheelchair users. The cushion is adjustable and has a width of less than 22 inches, making it suitable for a variety of wheelchair sizes.

2. Official Description

The official description of HCPCS code E2622 is “Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth.” The short description for this code is “Parenteral supp not othrws c.” This description accurately represents the purpose and characteristics of the wheelchair seat cushion.

3. Procedure

1. Measure the width of the wheelchair seat to ensure it is less than 22 inches.
2. Select the appropriate size of the skin protection wheelchair seat cushion.
3. Adjust the cushion to fit the individual’s seating needs, considering factors such as depth and positioning.
4. Secure the cushion to the wheelchair seat using the provided attachment mechanisms.
5. Instruct the individual on proper usage and maintenance of the cushion.

4. When to use HCPCS code E2622

HCPCS code E2622 should be used when providing a skin protection wheelchair seat cushion that meets the specified criteria. It is important to ensure that the width of the cushion is less than 22 inches and that it is adjustable. This code is typically used for individuals who require a wheelchair for mobility and are at risk of developing pressure ulcers or skin breakdown.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2622, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the wheelchair seat cushion. This may include documentation of the individual’s medical condition, the need for a wheelchair, and the specific requirements for a skin protection cushion. Additionally, providers should follow the appropriate billing guidelines and submit the claim with the correct coding information.

6. Historical Information and Code Maintenance

HCPCS code E2622 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996, and no maintenance actions have been taken for this code, as indicated by the action code N. This means that there have been no updates or revisions to the code since its addition.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may cover the cost of a skin protection wheelchair seat cushion under certain circumstances. The pricing indicator code for HCPCS code E2622 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 verify coverage and reimbursement policies with the respective payers.

8. Examples

Here are some examples of when HCPCS code E2622 should be billed:

1. A patient with a spinal cord injury who uses a wheelchair for mobility and requires a skin protection cushion to prevent pressure ulcers.
2. An elderly individual with limited mobility who uses a wheelchair and has a history of skin breakdown, necessitating the use of a skin protection cushion.
3. A child with a congenital condition that affects their ability to sit independently, requiring a wheelchair and a skin protection cushion for proper support.
4. A patient recovering from a surgical procedure that limits their mobility and requires a wheelchair with a skin protection cushion to aid in their recovery.
5. An individual with a chronic illness that causes muscle weakness and requires a wheelchair with a skin protection cushion to maintain comfort and prevent skin breakdown.