Question 1

What is HCPCS code E2213?

Accepted Answer

HCPCS code E2213 is "Pneumatic prop tire insert". Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each

Question 2

What category is E2213 in?

Accepted Answer

E2213 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E2213?

Accepted Answer

Use E2213 when billing for pneumatic prop tire insert. 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 E2213 covered by Medicare?

Accepted Answer

Coverage for E2213 (Pneumatic prop tire insert) 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 E2213?

Accepted Answer

Documentation for E2213 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).