Question 1

What is HCPCS code E1224?

Accepted Answer

HCPCS code E1224 is "Wheelchair spec size w/ leg". Wheelchair with detachable arms, elevating legrests

Question 2

What category is E1224 in?

Accepted Answer

E1224 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E1224?

Accepted Answer

Use E1224 when billing for wheelchair spec size w/ leg. 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 E1224 covered by Medicare?

Accepted Answer

Coverage for E1224 (Wheelchair spec size w/ leg) 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 E1224?

Accepted Answer

Documentation for E1224 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).