Question 1

What is HCPCS code E0855?

Accepted Answer

HCPCS code E0855 is "Cervical traction equipment". Cervical traction equipment not requiring additional stand or frame

Question 2

What category is E0855 in?

Accepted Answer

E0855 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0855?

Accepted Answer

Use E0855 when billing for cervical traction equipment. 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 E0855 covered by Medicare?

Accepted Answer

Coverage for E0855 (Cervical traction equipment) 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 E0855?

Accepted Answer

Documentation for E0855 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).