Question 1

What is HCPCS code E0731?

Accepted Answer

HCPCS code E0731 is "Conductive garment for tens/". Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)

Question 2

What category is E0731 in?

Accepted Answer

E0731 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0731?

Accepted Answer

Use E0731 when billing for conductive garment for tens/. 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 E0731 covered by Medicare?

Accepted Answer

Coverage for E0731 (Conductive garment for tens/) 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 E0731?

Accepted Answer

Documentation for E0731 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).