What HCPCS CPT code is used for a wheelchair evaluation in the home?

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What is a HCPCS code?

HCPCS (often pronounced Ahickpicks@) stands for the Healthcare Common Procedure Coding System. It was established in 1978 as a way to standardize identification of medical services, supplies and equipment.

There are two sets of codes. The first, or Level I, code set is a five-digit numeric code that contains the Physicians= Current Procedural Terminology (CPT) maintained by the American Medical Association. The CPT is comprised of descriptive terms and identifying codes used primarily for billing for services provided by physicians and other healthcare professionals.

The second code set, or Level II, is a code set for medical services not included in Level I, such as durable medical equipment, prosthetics, orthotics and supplies. These codes are alpha-numeric in that they begin with a single letter, such as an AE@ or AK@ in the case of durable medical equipment, followed by four numbers.

What are some examples of HCPCS codes for durable medical equipment?

A HCPCS code can be fairly broad or very specific. For example, a bath/shower chair, with or without wheels, any size, has a HCPCS code of E0240. On the other hand, a lightweight manual wheelchair is coded K0003, a high strength lightweight manual wheelchair is coded K0004, and an ultra lightweight manual wheelchair is coded K0005. A skin-protection wheelchair seat cushion less than 22 inches in width but any depth is coded E2603, and a skin-protection seat cushion greater than 22 inches in width but any depth is coded E2604.

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