How To Use HCPCS Code E2623

HCPCS code E2623 describes a skin protection wheelchair seat cushion that is adjustable and has a width of 22 inches or greater. This code is used to identify a specific type of cushion that provides support and protection for individuals who use wheelchairs. In this article, we will explore the details of HCPCS code E2623, 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 E2623?

HCPCS code E2623 is used to identify a skin protection wheelchair seat cushion that is adjustable and has a width of 22 inches or greater. This cushion is designed to provide comfort and support for individuals who use wheelchairs. It is an essential component in ensuring proper seating and preventing pressure ulcers or skin breakdown for wheelchair users.

2. Official Description

The official description of HCPCS code E2623 is “Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

  1. Measure the width of the wheelchair seat to ensure it is 22 inches or greater.
  2. Select a skin protection wheelchair seat cushion that is adjustable and suitable for the individual’s needs.
  3. Adjust the cushion to the desired width and secure it to the wheelchair seat.
  4. Ensure that the cushion provides adequate support and comfort for the individual.
  5. Instruct the individual on how to properly use and maintain the cushion.

4. When to use HCPCS code E2623

HCPCS code E2623 should be used when providing a skin protection wheelchair seat cushion that meets the specified criteria. It is important to use this code only when the cushion has a width of 22 inches or greater and is adjustable. This code should not be used for cushions that do not meet these specific requirements.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2623, healthcare providers need to document the provision of the skin protection wheelchair seat cushion, including the width of the cushion and any adjustments made. It is important to include detailed information about the individual’s condition and the medical necessity of the cushion. Proper documentation ensures accurate billing and reimbursement for the service or supply.

6. Historical Information and Code Maintenance

HCPCS code E2623 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 E2623 is covered 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. Medicare and other insurers determine the reimbursement rates for this code based on their pricing methodologies and fee schedules.

8. Examples

Here are five examples of when HCPCS code E2623 should be billed:

  1. A patient with a wheelchair seat width of 24 inches requires a skin protection wheelchair seat cushion that is adjustable. HCPCS code E2623 should be billed for the provision of the cushion.
  2. An individual with a wheelchair seat width of 22 inches needs a skin protection wheelchair seat cushion that can be adjusted to provide optimal support. HCPCS code E2623 should be used for billing.
  3. A patient with a wheelchair seat width of 26 inches requires a skin protection wheelchair seat cushion that is adjustable. HCPCS code E2623 should be billed for the provision of the cushion.
  4. An individual with a wheelchair seat width of 23 inches needs a skin protection wheelchair seat cushion that can be adjusted to provide optimal support. HCPCS code E2623 should be used for billing.
  5. A patient with a wheelchair seat width of 25 inches requires a skin protection wheelchair seat cushion that is adjustable. HCPCS code E2623 should be billed for the provision of the cushion.

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