Question 1

What is HCPCS code E1172?

Accepted Answer

HCPCS code E1172 is "Wheelchair amputee detach ar". Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest

Question 2

What category is E1172 in?

Accepted Answer

E1172 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E1172?

Accepted Answer

Use E1172 when billing for wheelchair amputee detach ar. 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 E1172 covered by Medicare?

Accepted Answer

Coverage for E1172 (Wheelchair amputee detach ar) 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 E1172?

Accepted Answer

Documentation for E1172 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).