Question 1

What is HCPCS code E0946?

Accepted Answer

HCPCS code E0946 is "Fracture frame dual w cross". Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)

Question 2

What category is E0946 in?

Accepted Answer

E0946 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0946?

Accepted Answer

Use E0946 when billing for fracture frame dual w cross. 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 E0946 covered by Medicare?

Accepted Answer

Coverage for E0946 (Fracture frame dual w cross) 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 E0946?

Accepted Answer

Documentation for E0946 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).