Question 1

What is HCPCS code E0161?

Accepted Answer

HCPCS code E0161 is "Sitz bath/equipment w/faucet". Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s

Question 2

What category is E0161 in?

Accepted Answer

E0161 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0161?

Accepted Answer

Use E0161 when billing for sitz bath/equipment w/faucet. 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 E0161 covered by Medicare?

Accepted Answer

Coverage for E0161 (Sitz bath/equipment w/faucet) 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 E0161?

Accepted Answer

Documentation for E0161 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).