How To Use HCPCS Code E2630

HCPCS code E2630 describes a wheelchair accessory known as a shoulder elbow mobile arm support. This accessory provides support and stability for individuals who have limited upper body strength or control. It consists of a monosuspension arm and hand support, an overhead elbow forearm hand sling support, and a yoke type suspension support. This article will provide a detailed overview of HCPCS code E2630, including its official description, procedure, when to use the code, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS E2630?

HCPCS code E2630 is used to identify a specific wheelchair accessory that provides support for the shoulder and elbow. It is designed to assist individuals with limited upper body strength or control in maintaining proper posture and positioning while using a wheelchair. This accessory helps to reduce strain on the upper body and allows for greater independence and mobility.

2. Official Description

The official description of HCPCS code E2630 is “Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support.” The short description is “Enteral supp not otherwise c.”

3. Procedure

1. The provider will assess the patient’s needs and determine if the shoulder elbow mobile arm support is appropriate for their condition.
2. The provider will select the appropriate size and configuration of the mobile arm support based on the patient’s measurements and individual requirements.
3. The provider will attach the monosuspension arm and hand support to the wheelchair frame, ensuring a secure and stable connection.
4. The provider will position the overhead elbow forearm hand sling support to provide optimal support and comfort for the patient’s shoulder and elbow.
5. The provider will adjust the yoke type suspension support to ensure proper weight distribution and balance.
6. The provider will educate the patient on how to properly use and adjust the shoulder elbow mobile arm support for maximum benefit.

4. When to use HCPCS code E2630

HCPCS code E2630 should be used when a healthcare provider prescribes or recommends the use of a shoulder elbow mobile arm support for a patient who requires additional support and stability for their upper body while using a wheelchair. This code is typically used for individuals with limited upper body strength or control due to a medical condition or disability.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2630, healthcare providers should ensure that the following documentation is included:

• A detailed description of the patient’s medical condition or disability that necessitates the use of the shoulder elbow mobile arm support.
• Documentation of the patient’s measurements and individual requirements to support the selection of the appropriate size and configuration of the mobile arm support.
• A record of the provider’s assessment and recommendation for the use of the shoulder elbow mobile arm support.
• An itemized invoice or receipt that includes the HCPCS code E2630, the date of service, and the provider’s information.

6. Historical Information and Code Maintenance

HCPCS code E2630 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.

7. Medicare and Insurance Coverage

HCPCS code E2630 is eligible for coverage under Medicare. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A means that the code is not applicable as HCPCS priced under one methodology. Healthcare providers should verify coverage and reimbursement rates with the specific insurance carrier or Medicare administrative contractor.

8. Examples

Here are five examples of when HCPCS code E2630 should be billed:

1. A patient with muscular dystrophy requires a shoulder elbow mobile arm support to maintain proper posture and positioning while using a wheelchair.
2. An individual with spinal cord injury needs a shoulder elbow mobile arm support to assist with upper body stability and control.
3. A stroke survivor with limited arm function benefits from a shoulder elbow mobile arm support to improve independence and mobility.
4. A patient with cerebral palsy requires a shoulder elbow mobile arm support to reduce strain on the upper body and facilitate activities of daily living.
5. An individual with a brachial plexus injury uses a shoulder elbow mobile arm support to enhance upper extremity function and participation in daily activities.