Question 1

What is HCPCS code E0491?

Accepted Answer

HCPCS code E0491 is "Oral dv nm mouthpc hw remote". Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply

Question 2

What category is E0491 in?

Accepted Answer

E0491 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0491?

Accepted Answer

Use E0491 when billing for oral dv nm mouthpc hw remote. 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 E0491 covered by Medicare?

Accepted Answer

Coverage for E0491 (Oral dv nm mouthpc hw remote) 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 E0491?

Accepted Answer

Documentation for E0491 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).