How To Use HCPCS Code R0075

HCPCS R0075 describes the transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, when more than one patient is seen. In this article, we will delve into the details of HCPCS code R0075, including its official description, procedure, when to use the code, billing guidelines and documentation requirements, historical information and code maintenance, Medicare and insurance coverage, and provide examples of cases where HCPCS R0075 should be billed.

1. What is HCPCS R0075?

HCPCS code R0075 represents the transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, when more than one patient is seen. This code is used for billing purposes to capture the costs associated with the transportation of the equipment and personnel.

2. Official Description

The official description of HCPCS code R0075 is “Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen.” Its short description is “Transport port x-ray multipl.”

3. Procedure

1. Arrange for the portable x-ray equipment and personnel to be transported to the designated location, either a home or nursing home.
2. Ensure that the transportation is conducted per trip to the facility or location.
3. During the transportation, it is important to note that multiple patients will be seen, therefore, the equipment and personnel should be capable of accommodating this.
4. Upon arrival at the facility or location, perform the necessary x-ray procedures on each patient as required.
5. After completing the x-ray procedures, prepare the equipment and personnel for transportation back to their original location.

4. When to use HCPCS code R0075

HCPCS code R0075 should be used when the transportation of portable x-ray equipment and personnel occurs to a home or nursing home, per trip to the facility or location, and more than one patient is seen during this trip. It is important to note that this code should only be used when the specific conditions and eligibility criteria are met for this type of service.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code R0075, healthcare providers need to ensure that they have the necessary documentation to support the service provided. This may include documentation of the transportation details, such as the date, time, and location of the trip, as well as the names of the patients seen during the trip. It is important to accurately document the use of portable x-ray equipment and personnel during the transportation.

6. Historical Information and Code Maintenance

HCPCS code R0075 was added to the code set on January 1, 1986. Since its addition, there have been no specific maintenance actions taken for this code, as indicated by the HCPCS action code N, which signifies that no maintenance is required. It is essential for medical coders and billers to stay updated with any changes or revisions to the HCPCS codes, including code R0075.

7. Medicare and Insurance Coverage

HCPCS code R0075 falls under the special coverage instructions category, denoted by the coverage code D. This means that there are specific guidelines and instructions that apply to the coverage of this code. The pricing indicator code for R0075 is 13, which indicates that the price for this service is established by carriers, such as Medicare, based on carrier discretion. The multiple pricing indicator code A signifies that this code is not applicable for multiple pricing methodologies.

8. Examples

Here are some examples of cases where HCPCS code R0075 should be billed:

1. A portable x-ray service provider transports their equipment and personnel to a nursing home to perform x-ray procedures on three patients at the facility. In this case, HCPCS code R0075 would be used to capture the transportation costs for the trip and the service provided to multiple patients.
2. Another scenario involves the transportation of portable x-ray equipment and personnel to a patient’s home, where two patients are seen and undergo x-ray procedures. HCPCS code R0075 would be used to bill for the transportation and services provided at the patient’s home.
3. In a similar case, the transport of portable x-ray equipment and personnel is arranged to a home, but only one patient is seen and receives the service. In this situation, HCPCS code R0075 would not be applicable, as it requires the transportation and service for more than one patient.
4. Consider a scenario where a portable x-ray service provider transports their equipment and personnel to a nursing home, but encounters unexpected circumstances that prevent them from performing any x-ray procedures on the patients during the trip. In this case, HCPCS code R0075 would still be appropriate for billing the transportation costs, even though no services were ultimately provided.
5. Lastly, an example could be a situation where multiple patients are seen during a trip to a nursing home, but the transportation does not involve portable x-ray equipment. In this case, HCPCS code R0075 would not be applicable, as it specifically pertains to the transportation of portable x-ray equipment and personnel.