Question 1

What is HCPCS code E0181?

Accepted Answer

HCPCS code E0181 is "Press pad alternating w/ pum". Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty

Question 2

What category is E0181 in?

Accepted Answer

E0181 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0181?

Accepted Answer

Use E0181 when billing for press pad alternating w/ pum. 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 E0181 covered by Medicare?

Accepted Answer

Coverage for E0181 (Press pad alternating w/ pum) 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 E0181?

Accepted Answer

Documentation for E0181 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).