How To Use HCPCS Code E2626

HCPCS code E2626 describes a wheelchair accessory known as a shoulder elbow mobile arm support. This device is designed to be attached to a wheelchair and provides balanced and adjustable support for the user’s arm. It is primarily used to assist individuals with limited upper body strength or mobility in performing daily activities.

1. What is HCPCS E2626?

HCPCS code E2626 is specifically used to identify the shoulder elbow mobile arm support accessory for wheelchairs. This code is essential for medical coders and healthcare providers to accurately document and bill for the provision of this device.

2. Official Description

The official description of HCPCS code E2626 is “Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider should first ensure that the wheelchair is compatible with the shoulder elbow mobile arm support attachment.
2. Attach the mobile arm support to the wheelchair according to the manufacturer’s instructions.
3. Adjust the arm support to the appropriate height and angle to provide optimal support and comfort for the user.
4. Instruct the patient on how to use and adjust the arm support as needed.

4. When to use HCPCS code E2626

HCPCS code E2626 should be used when a healthcare provider supplies and attaches a shoulder elbow mobile arm support to a wheelchair for a patient. This code is applicable when the arm support is balanced and adjustable, providing the necessary assistance for individuals with limited upper body function.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2626, healthcare providers should ensure that the following documentation requirements are met:

• A detailed description of the shoulder elbow mobile arm support provided
• Date of service
• Provider’s name and credentials
• Patient’s name and identification
• Any relevant medical records or supporting documentation

6. Historical Information and Code Maintenance

HCPCS code E2626 was added to the Healthcare Common Procedure Coding System on January 01, 1985. As of the effective date of January 01, 1996, no maintenance actions have been 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 cover the provision of a shoulder elbow mobile arm support attachment for wheelchairs under certain circumstances. The pricing indicator code 57 indicates that this code is priced by other carriers, and the multiple pricing indicator code A signifies that 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 five examples of scenarios where HCPCS code E2626 should be billed:

1. A patient with limited upper body strength requires a shoulder elbow mobile arm support attachment for their wheelchair to assist with daily activities.
2. An individual with a physical disability needs a balanced and adjustable arm support to enhance their independence and mobility.
3. A healthcare provider supplies and attaches a shoulder elbow mobile arm support to a wheelchair for a patient with a documented medical need.
4. A wheelchair user with limited arm function requires a specialized accessory to provide support and stability during activities of daily living.
5. A physical therapist recommends a shoulder elbow mobile arm support attachment for a patient undergoing rehabilitation to improve upper body strength and function.