Question 1

What is HCPCS code E1092?

Accepted Answer

HCPCS code E1092 is "Wheelchair wide w/ leg rests". Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests

Question 2

What category is E1092 in?

Accepted Answer

E1092 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E1092?

Accepted Answer

Use E1092 when billing for wheelchair wide w/ leg rests. 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 E1092 covered by Medicare?

Accepted Answer

Coverage for E1092 (Wheelchair wide w/ leg rests) 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 E1092?

Accepted Answer

Documentation for E1092 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).