Question 1

What is HCPCS code E0105?

Accepted Answer

HCPCS code E0105 is "Cane adjust/fixed quad/3 pro". Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips

Question 2

What category is E0105 in?

Accepted Answer

E0105 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0105?

Accepted Answer

Use E0105 when billing for cane adjust/fixed quad/3 pro. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is E0105 covered by Medicare?

Accepted Answer

Coverage for E0105 (Cane adjust/fixed quad/3 pro) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for E0105?

Accepted Answer

Documentation for E0105 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).