How To Use HCPCS Code E2627

HCPCS code E2627 describes a wheelchair accessory known as a shoulder elbow mobile arm support. This device is attached to a wheelchair and provides balanced and adjustable support for the user’s arm. It falls under the category of enteral supplies and is used to assist individuals with limited upper body mobility in performing daily activities.

1. What is HCPCS E2627?

HCPCS code E2627 is a specific code used to identify the shoulder elbow mobile arm support accessory for wheelchairs. It is designed to provide stability and assistance to individuals with limited upper body strength or control. This accessory is adjustable and can be customized to meet the needs of each individual user.

2. Official Description

The official description of HCPCS code E2627 is “Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type.” The short description for this code is “Enteral supp not otherwise c.” This description accurately defines the purpose and function of the accessory.

3. Procedure

1. Attach the shoulder elbow mobile arm support to the wheelchair according to the manufacturer’s instructions.
2. Adjust the arm support to the desired height and angle to provide optimal comfort and assistance for the user.
3. Ensure that the arm support is securely attached to the wheelchair to prevent any accidents or injuries.
4. Instruct the user on how to properly use and adjust the arm support for their specific needs.
5. Regularly check the arm support for any signs of wear or damage and replace if necessary.

4. When to use HCPCS code E2627

HCPCS code E2627 should be used when billing for the provision of a shoulder elbow mobile arm support accessory attached to a wheelchair. This code is applicable for individuals who require additional support and stability for their upper body while using a wheelchair. It is important to ensure that the accessory meets the specific criteria outlined by the code description.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2627, healthcare providers should include the following documentation:

• A detailed description of the shoulder elbow mobile arm support provided
• Date of service
• Provider’s name and contact information
• Patient’s name and demographic information
• Any relevant medical records or documentation supporting the medical necessity of the accessory

6. Historical Information and Code Maintenance

HCPCS code E2627 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

Medicare and other insurance providers may provide coverage for HCPCS code E2627, subject to specific coverage instructions. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. It is important to check with individual insurance providers to determine coverage and reimbursement policies.

8. Examples

Here are five examples of when HCPCS code E2627 should be billed:

1. A patient with limited upper body mobility due to a spinal cord injury requires a shoulder elbow mobile arm support to assist with daily activities.
2. An individual with muscular dystrophy relies on a wheelchair for mobility and needs a balanced and adjustable arm support to perform tasks independently.
3. A stroke survivor with hemiparesis requires a wheelchair accessory that provides stability and support for their affected arm.
4. A patient with a congenital disability needs a shoulder elbow mobile arm support to enhance their ability to use a wheelchair and engage in activities of daily living.
5. An individual with a progressive neuromuscular disorder requires an arm support attachment to their wheelchair to maintain their independence and quality of life.