Question 1

What is HCPCS code E0779?

Accepted Answer

HCPCS code E0779 is "Amb infusion pump mechanical". Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater

Question 2

What category is E0779 in?

Accepted Answer

E0779 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0779?

Accepted Answer

Use E0779 when billing for amb infusion pump mechanical. 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 E0779 covered by Medicare?

Accepted Answer

Coverage for E0779 (Amb infusion pump mechanical) 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 E0779?

Accepted Answer

Documentation for E0779 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).