Question 1

What is HCPCS code E1831?

Accepted Answer

HCPCS code E1831 is "Static str toe dev ext/flex". Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

Question 2

What category is E1831 in?

Accepted Answer

E1831 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E1831?

Accepted Answer

Use E1831 when billing for static str toe dev ext/flex. 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 E1831 covered by Medicare?

Accepted Answer

Coverage for E1831 (Static str toe dev ext/flex) 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 E1831?

Accepted Answer

Documentation for E1831 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).