Question 1

What is HCPCS code E2221?

Accepted Answer

HCPCS code E2221 is "Solid caster tire repl, each". Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Question 2

What category is E2221 in?

Accepted Answer

E2221 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E2221?

Accepted Answer

Use E2221 when billing for solid caster tire repl, each. 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 E2221 covered by Medicare?

Accepted Answer

Coverage for E2221 (Solid caster tire repl, each) 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 E2221?

Accepted Answer

Documentation for E2221 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).