Question 1

What is HCPCS code E0492?

Accepted Answer

HCPCS code E0492 is "Control unit nm stim w phone". Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application

Question 2

What category is E0492 in?

Accepted Answer

E0492 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0492?

Accepted Answer

Use E0492 when billing for control unit nm stim w phone. 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 E0492 covered by Medicare?

Accepted Answer

Coverage for E0492 (Control unit nm stim w phone) 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 E0492?

Accepted Answer

Documentation for E0492 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).