Here is the range of HCPCS codes for wheelchairs: E1130-E1161. Medicare and other health insurance companies are required to utilize the E1130-E1161 code set to process healthcare claims.ĭescription of HCPCS Codes for Wheelchairs Medicare and other insurance companies cover treatments, supplies, and equipment not expressly identified by CPT codes. This is when ambulance services and DMEPOS, including wheelchairs, are utilized outside a physician’s office. The HCPCS Level II is a standardized coding system used primarily to identify products, suppliers, and services not covered by CPT codes. CPT’s primary objective is to catalog the medical treatments, dental services, and procedures provided by physicians and other health care providers. Current Procedural Terminology (CPT), i.e., numerical coding scheme comprises Level I of the HCPCS. The HCPCS is subdivided into two principal subsystems, levels I and II. The Healthcare Common Procedure Coding System, or HCPCS, is a standard set of codes used to bill for services by all payers, including Medicare and Medicaid. So, keep reading to learn about DME HCPCS codes. Moreover, the post also sheds light on the guidelines related to the CPT code for wheelchairs. We enlist HCPCS codes for wheelchairs and discuss DME coding in the present post. Knowing HCPCS codes for wheelchairs is crucial for timely reimbursement.

Therefore, all sellers of durable medical equipment, prosthetics, orthotics, and supplies ( DMEPOS) must take the appropriate measures to ensure claims are appropriately coded.Īn essential component of medical care is using DME, including a wheelchair. Conversely, incorrect coding could result in improper payments that must be recouped and could lead to false claim actions. Using the valid HCPCS code when processing claims ensures that the claim is reviewed accurately and that the correct reimbursement amount is granted. For claims to be paid, selecting the correct code of the Healthcare Common Procedure Coding System (HCPCS) is crucial.

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