HCPCS codes covered if selection criteria are met: A4635 Underarm pad, crutch, replacement, each A4636 Replacement, handgrip, cane, crutch, or walker, each A4637 Replacement, tip, cane, crutch, or walker, each E0100 Cane, includes canes of all materials, adjustable or fixed, with tip
Cane, includes canes of all materials, adjustable or fixed, with tip E0105 Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips E0110
Quadriplegia, unspecified 1 G82.50 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM G82.50 became effective on October 1, 2019. 3 This is the American ICD-10-CM version of G82.50 - other international versions of ICD-10 G82.50 may differ.
Aetna considers canes, quad canes, and crutches medically necessary durable medical equipment (DME) if all of the following criteria are met: Mobility Limitation
HCPCS CODES:CodeDescriptionE0100CANE, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR FIXED, WITH TIPE0105CANE, QUAD OR THREE PRONG, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR FIXED, WITH TIPSE0110CRUTCHES, FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED, PAIR, COMPLETE WITH TIPS AND HANDGRIPS12 more rows
A quad cane is a mobility device that aids walking and mobility. It is similar to a standard cane, but it has a metal base on the bottom with four small feet that extend from the base. These feet have rubber caps that help reduce slippage on the floor.
Claims for DME for a disabled parent must be submitted using HCPCS code A9999 (miscellaneous DME supply or accessory, not otherwise specified), ICD-10-CM diagnosis code Z73. 6 and modifier SC.
Short Description: Nebulizer with compression. Long Description: NEBULIZER, WITH COMPRESSOR.
Large Base Quad Canes These canes are made out of aluminum and have a large base and an offset handle. They have a lightweight design and low center of gravity, which combine for greater stability and balance. The canes are 7/8″ in diameter and can adjust from 30″ to 39″ in height.
Quad cane with small base. chrome cane with vinyl contoured grip. cane is adjustable from 30 inches to 39 inches. 4 point bases, combined with offset handle provides additional stability and support. easy to use one-button height adjustment with locking bolt.
DME procedure codes with most claims in 2020E0601. Continuous positive airway pressure (CPAP) Device. ... E0114. Crutches underarm, other than wood, adjustable or fixed pair, with pads, tips and handgrips. ... E0562. Humidifier, heated, used with positive airway pressure (PAP) device. ... E0700. ... E1390. ... E1399. ... E0570. ... E0776.More items...
The Special Process of DME Billing and Coding. Durable medical equipment must be prescribed by a medical doctor, found medically necessary, and then approved by the patient's insurance company. Only then can the equipment be distributed to the patient.
UE — USED DURABLE MEDICAL EQUIPMENT PURCHASE. This modifier is used for used DME items that are purchased. When using the UE modifier, you are indicating you have furnished the beneficiary with a used piece of equipment.
HCPCS Code E0156 E0156 is a valid 2022 HCPCS code for Seat attachment, walker or just “Walker seat attachment” for short, used in Used durable medical equipment (DME).
Short Description: Tens four lead. Long Description: TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) DEVICE, FOUR OR MORE LEADS, FOR MULTIPLE NERVE STIMULATION.
Short Description: Walker folding wheeled w/o s. Long Description: WALKER, FOLDING, WHEELED, ADJUSTABLE OR FIXED HEIGHT. Additional Search Terminology: GAIT TRAINER; ROLLATOR. Product and Service Code(s): M05 : WALKERS.
Aetna considers pediatric crawlers medically necessary DME for disabled children. The Mulholland Walkabout is a walker with 4 wheels and attached back brace. Aetna considers the Mulholland Walkabout medically necessary DME for children who have impaired ambulation and who lack trunk stability and balance.
The functional mobility deficit can be sufficiently resolved by use of a cane or crutch. Consistent with Medicare policy, Aetna does not consider axillary (under-arm), articulated, spring-assisted crutches medically necessary because the clinical value of these specialized crutches have not been established.