Question 1

What is HCPCS code E0716?

Accepted Answer

HCPCS code E0716 is "Supp and acces intravag pelv". Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises

Question 2

What category is E0716 in?

Accepted Answer

E0716 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0716?

Accepted Answer

Use E0716 when billing for supp and acces intravag pelv. 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 E0716 covered by Medicare?

Accepted Answer

Coverage for E0716 (Supp and acces intravag pelv) 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 E0716?

Accepted Answer

Documentation for E0716 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).