Q: What category is E2613 in?

E2613 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Q: When should I use HCPCS code E2613?

Use E2613 when billing for position back cush wd <22in. 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.

Q: Is E2613 covered by Medicare?

Coverage for E2613 (Position back cush wd <22in) 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.

Q: What documentation is required for E2613?

Documentation for E2613 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).

Question 1

What is HCPCS code E2613?

Accepted Answer

HCPCS code E2613 is "Position back cush wd <22in". Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware

Question 2

What category is E2613 in?

Accepted Answer

E2613 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E2613?

Accepted Answer

Use E2613 when billing for position back cush wd <22in. 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 E2613 covered by Medicare?

Accepted Answer

Coverage for E2613 (Position back cush wd <22in) 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 E2613?

Accepted Answer

Documentation for E2613 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).