How To Use HCPCS Code E8000

HCPCS code E8000 describes a gait trainer specifically designed for pediatric patients with posterior support. This code includes all the necessary accessories and components for the gait trainer. In this article, we will explore the details of HCPCS code E8000, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS E8000?

HCPCS code E8000 is used to identify a gait trainer that is specifically designed for pediatric patients who require posterior support. This code includes all the necessary accessories and components for the gait trainer. It is important to note that this code is specifically for pediatric-sized gait trainers with posterior support.

2. Official Description

The official description of HCPCS code E8000 is “Gait trainer, pediatric size, posterior support, includes all accessories and components.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. Measure the patient’s height and weight to ensure the appropriate size of the pediatric gait trainer.

4. When to use HCPCS code E8000

HCPCS code E8000 should be used when a pediatric patient requires a gait trainer with posterior support. This code is specifically for pediatric-sized gait trainers and should not be used for adult-sized or other types of gait trainers. It is important to ensure that the patient meets the criteria for using a gait trainer and requires the additional support provided by the posterior support feature.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E8000, healthcare providers should ensure that the following documentation is included:

• Medical records indicating the need for a gait trainer with posterior support for the pediatric patient.

6. Historical Information and Code Maintenance

HCPCS code E8000 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 E8000 is covered by Medicare. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should check with individual insurance companies to determine coverage and reimbursement rates for this code.

8. Examples

Here are five examples of when HCPCS code E8000 should be billed:

1. A 5-year-old patient with cerebral palsy requires a gait trainer with posterior support to assist with mobility and gait training.
2. A 3-year-old patient with developmental delays needs a pediatric-sized gait trainer with posterior support to improve balance and coordination.
3. A 7-year-old patient with spina bifida requires a gait trainer with posterior support to promote independent walking.
4. A 4-year-old patient with muscular dystrophy needs a pediatric-sized gait trainer with posterior support to maintain mobility and prevent muscle contractures.
5. A 6-year-old patient with Down syndrome requires a gait trainer with posterior support to improve overall strength and stability.