How To Use HCPCS Code E2625

HCPCS code E2625 describes a skin protection and positioning 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 comfort for individuals who use wheelchairs. In this article, we will explore the details of HCPCS code E2625, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and examples of when this code should be billed.

1. What is HCPCS E2625?

HCPCS code E2625 is used to identify a skin protection and positioning wheelchair seat cushion that is adjustable and has a width of 22 inches or greater. This cushion is designed to provide support and comfort for individuals who use wheelchairs. It helps to prevent pressure sores and promotes proper positioning to enhance the user’s overall comfort and well-being.

2. Official Description

The official description of HCPCS code E2625 is “Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. Measure the width of the wheelchair seat to ensure it is 22 inches or greater.
2. Select a skin protection and positioning wheelchair seat cushion that is adjustable and suitable for the individual’s needs.
3. Adjust the cushion to the desired width and depth.
4. Place the cushion on the wheelchair seat, ensuring it is properly positioned and secured.
5. Instruct the individual on how to use and maintain the cushion for optimal comfort and effectiveness.

4. When to use HCPCS code E2625

HCPCS code E2625 should be used when providing a skin protection and positioning wheelchair seat cushion that meets the specific criteria outlined in the code description. This code is applicable when the cushion has a width of 22 inches or greater and is adjustable. It is important to ensure that the cushion is suitable for the individual’s needs and provides the necessary support and comfort.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2625, healthcare providers should ensure that the necessary documentation is in place to support the claim. This may include a prescription or order from a healthcare professional, documentation of medical necessity, and any other relevant medical records. It is important to accurately document the provision of the skin protection and positioning wheelchair seat cushion, including the specific details of the cushion provided and any adjustments made.

6. Historical Information and Code Maintenance

HCPCS code E2625 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. The code has a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for this code is A, which means it is not applicable as HCPCS priced under one methodology. 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

Medicare and other insurance providers may provide coverage for HCPCS code E2625, subject to specific coverage instructions. It is important to check with the individual’s insurance plan to determine the coverage and reimbursement policies for this code. The Medicare Carriers Manual Reference Section Number for this code is 2130, which provides additional guidance on coverage and billing requirements.

8. Examples

Here are five examples of when HCPCS code E2625 should be billed:

1. A patient with a wheelchair seat width of 24 inches requires a skin protection and positioning wheelchair seat cushion that is adjustable. HCPCS code E2625 should be used to bill for the provision of the cushion.
2. An individual with a wheelchair seat width of 22 inches needs a skin protection and positioning wheelchair seat cushion that is adjustable. HCPCS code E2625 should be used to bill for the cushion.
3. A patient with a wheelchair seat width of 26 inches requires a skin protection and positioning wheelchair seat cushion that is adjustable. HCPCS code E2625 should be used to bill for the provision of the cushion.
4. An individual with a wheelchair seat width of 23 inches needs a skin protection and positioning wheelchair seat cushion that is adjustable. HCPCS code E2625 should be used to bill for the cushion.
5. A patient with a wheelchair seat width of 25 inches requires a skin protection and positioning wheelchair seat cushion that is adjustable. HCPCS code E2625 should be used to bill for the provision of the cushion.