Question 1

What is HCPCS code E2295?

Accepted Answer

HCPCS code E2295 is "Ped dynamic seating frame". Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features

Question 2

What category is E2295 in?

Accepted Answer

E2295 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E2295?

Accepted Answer

Use E2295 when billing for ped dynamic seating frame. 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 E2295 covered by Medicare?

Accepted Answer

Coverage for E2295 (Ped dynamic seating frame) 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 E2295?

Accepted Answer

Documentation for E2295 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).