Question 1

What is HCPCS code E0764?

Accepted Answer

HCPCS code E0764 is "Functional neuromuscularstim". Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program

Question 2

What category is E0764 in?

Accepted Answer

E0764 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0764?

Accepted Answer

Use E0764 when billing for functional neuromuscularstim. 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 E0764 covered by Medicare?

Accepted Answer

Coverage for E0764 (Functional neuromuscularstim) 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 E0764?

Accepted Answer

Documentation for E0764 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).