Question 1

What is HCPCS code E0463?

Accepted Answer

HCPCS code E0463 is "Press supp vent invasive int". Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)

Question 2

What category is E0463 in?

Accepted Answer

E0463 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0463?

Accepted Answer

Use E0463 when billing for press supp vent invasive int. 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 E0463 covered by Medicare?

Accepted Answer

Coverage for E0463 (Press supp vent invasive int) 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 E0463?

Accepted Answer

Documentation for E0463 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).