How To Use HCPCS Code E2624

HCPCS code E2624 describes a skin protection and positioning wheelchair seat cushion that is adjustable and has a width of less than 22 inches. This code is used to identify a specific type of cushion that provides support and comfort for individuals who use wheelchairs. It is important for medical coders to understand the meaning and usage of this code in order to accurately document and bill for the services provided.

1. What is HCPCS E2624?

HCPCS code E2624 is used to identify a skin protection and positioning wheelchair seat cushion that is adjustable and has a width of less than 22 inches. This cushion is designed to provide support and comfort for individuals who use wheelchairs. It helps to prevent pressure ulcers and promotes proper positioning and alignment for the user.

2. Official Description

The official description of HCPCS code E2624 is “Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth.” The short description is “Enteral supp not otherwise c.” This description accurately defines the specific type of wheelchair seat cushion that is represented by this code.

3. Procedure

  1. Measure the width of the wheelchair seat to ensure it is less than 22 inches.
  2. Select an adjustable cushion that meets the specific needs of the individual.
  3. Position the cushion on the wheelchair seat, ensuring proper alignment and support.
  4. Adjust the cushion as needed to provide optimal comfort and positioning for the user.

4. When to use HCPCS code E2624

HCPCS code E2624 should be used when providing a skin protection and positioning wheelchair seat cushion that is adjustable and has a width of less than 22 inches. This code is applicable for individuals who require additional support and positioning assistance while using a wheelchair. It is important to ensure that the specific criteria for this code are met in order to accurately document and bill for the service.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2624, healthcare providers should ensure that the following documentation is included:

  • Medical records indicating the need for a skin protection and positioning wheelchair seat cushion
  • Documentation of the specific dimensions and adjustments made to the cushion
  • Any additional supporting documentation, such as a prescription or physician’s order

6. Historical Information and Code Maintenance

HCPCS code E2624 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 system.

7. Medicare and Insurance Coverage

HCPCS code E2624 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that this code is priced by other carriers. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions on billing and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code E2624 should be billed:

  1. A patient with a wheelchair seat width of 20 inches requires a skin protection and positioning wheelchair seat cushion that is adjustable.
  2. An individual with a wheelchair seat width of 18 inches needs a cushion that provides skin protection and proper positioning.
  3. A wheelchair user with a seat width of 16 inches requires a cushion that can be adjusted to meet their specific needs.
  4. A patient with a wheelchair seat width of 22 inches would not be eligible for HCPCS code E2624, as the width exceeds the specified limit.
  5. An individual who does not require a wheelchair seat cushion would not be eligible for HCPCS code E2624.

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