Question 1

What is HCPCS code E1036?

Accepted Answer

HCPCS code E1036 is "Patient transfer system >300". Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs

Question 2

What category is E1036 in?

Accepted Answer

E1036 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E1036?

Accepted Answer

Use E1036 when billing for patient transfer system >300. 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 E1036 covered by Medicare?

Accepted Answer

Coverage for E1036 (Patient transfer system >300) 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 E1036?

Accepted Answer

Documentation for E1036 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).