Question 1

What is HCPCS code E0961?

Accepted Answer

HCPCS code E0961 is "Wheelchair brake extension". Manual wheelchair accessory, wheel lock brake extension (handle), each

Question 2

What category is E0961 in?

Accepted Answer

E0961 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0961?

Accepted Answer

Use E0961 when billing for wheelchair brake extension. 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 E0961 covered by Medicare?

Accepted Answer

Coverage for E0961 (Wheelchair brake extension) 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 E0961?

Accepted Answer

Documentation for E0961 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).