How To Use HCPCS Code E2628
HCPCS code E2628 describes a wheelchair accessory known as a mobile arm support. This device is attached to a wheelchair and provides support and balance for the user’s shoulder and elbow. It is designed to assist individuals with limited upper body strength or mobility in performing daily activities.
1. What is HCPCS E2628?
HCPCS code E2628 is used to identify the specific wheelchair accessory known as a mobile arm support. This device is designed to provide support and balance for the user’s shoulder and elbow. It is attached to a wheelchair and can be adjusted to meet the individual’s needs. The mobile arm support is typically used by individuals with limited upper body strength or mobility.
2. Official Description
The official description of HCPCS code E2628 is “Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining.” This description accurately reflects the purpose and function of the mobile arm support.
3. Procedure
- Attach the mobile arm support to the wheelchair according to the manufacturer’s instructions.
- Adjust the mobile arm support to the desired height and angle to provide optimal support and comfort for the user.
- Ensure that the mobile arm support is securely attached to the wheelchair to prevent any accidents or injuries.
- Instruct the user on how to properly use and adjust the mobile arm support to meet their specific needs.
4. When to use HCPCS code E2628
HCPCS code E2628 should be used when a healthcare provider or supplier is providing a mobile arm support as a wheelchair accessory to a patient. This code is specifically for mobile arm supports that are attached to wheelchairs and provide support for the shoulder and elbow. It is important to ensure that the patient meets the eligibility criteria for using this code, such as having limited upper body strength or mobility.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E2628, healthcare providers need to document the medical necessity of the mobile arm support and the patient’s specific condition or limitations that require its use. The documentation should include the patient’s medical history, any relevant diagnostic tests or evaluations, and a detailed description of how the mobile arm support will benefit the patient. Additionally, providers should include the date of service and any other required billing information.
6. Historical Information and Code Maintenance
HCPCS code E2628 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 suggests that the code has remained unchanged since its addition to the system.
7. Medicare and Insurance Coverage
HCPCS code E2628 is covered by Medicare and other insurance providers. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology. Providers should verify coverage and reimbursement rates with the specific insurance carrier to ensure proper billing and reimbursement.
8. Examples
Here are five examples of when HCPCS code E2628 should be billed:
- A patient with limited upper body strength due to a spinal cord injury requires a mobile arm support to assist with daily activities.
- An individual with a neuromuscular disorder needs a mobile arm support to maintain balance and stability while using a wheelchair.
- A person with a degenerative joint disease experiences pain and weakness in their shoulder and elbow, necessitating the use of a mobile arm support.
- A stroke survivor with limited mobility in their upper extremities benefits from a mobile arm support to improve their independence and quality of life.
- An individual with a congenital disability requires a mobile arm support to perform tasks such as eating, writing, and using a computer.
