Question 1

What is HCPCS code E0691?

Accepted Answer

HCPCS code E0691 is "Uvl pnl 2 sq ft or less". Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less

Question 2

What category is E0691 in?

Accepted Answer

E0691 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0691?

Accepted Answer

Use E0691 when billing for uvl pnl 2 sq ft or less. 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 E0691 covered by Medicare?

Accepted Answer

Coverage for E0691 (Uvl pnl 2 sq ft or less) 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 E0691?

Accepted Answer

Documentation for E0691 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).