Q: What category is E1038 in?

E1038 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Q: When should I use HCPCS code E1038?

Use E1038 when billing for transport chair pt wt<=300lb. 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.

Q: Is E1038 covered by Medicare?

Coverage for E1038 (Transport chair pt wt<=300lb) 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.

Q: What documentation is required for E1038?

Documentation for E1038 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).

Question 1

What is HCPCS code E1038?

Accepted Answer

HCPCS code E1038 is "Transport chair pt wt<=300lb". Transport chair, adult size, patient weight capacity up to and including 300 pounds

Question 2

What category is E1038 in?

Accepted Answer

E1038 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E1038?

Accepted Answer

Use E1038 when billing for transport chair pt wt<=300lb. 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 E1038 covered by Medicare?

Accepted Answer

Coverage for E1038 (Transport chair pt wt<=300lb) 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 E1038?

Accepted Answer

Documentation for E1038 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).