by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Aug 7th, 2015 - Reviewed/Updated Aug 7th
HCPCS codes E0935 (Continuous passive motion exercise device for use on knee only), and E0936 (Continuous passive motion exercise device for use other than knee) are reimbursed on a daily basis consistent with CMS guidelines.
The following HCPCS codes are also reimbursed on a daily basis:
- E0193 -Powered air flotation bed (low air loss therapy)
- E0194 -Air fluidized bed
- E0277 –Powered pressure-reducing air mattress
- E0304 -Hospital bed, heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
- E0371 –Non powered advanced pressure reducing overlay for mattress, standard mattress length and width
- E0372 -Powered air overlay for mattress, standard mattress length and width
- E0373 –Non powered advanced pressure reducing mattress
- E1639 -Scale, each·
- E2402 –Negative pressure wound therapy electrical pump, stationary or portable
Rental Modifiers
The following modifiers indicate that an item has been rented:
- RR -Rental
- KH - Initial Claim, purchase or first month rental
- KI - Second or third monthly rental
- KJ – Capped rental months four to fourteen
- KR - Partial month Purchase Modifiers
The following modifiers indicate that an item has been purchased:
NU -New Equipment (use the NR modifier when DME which was new at the time of rental is subsequently purchased)
- UE -Used Equipment
- NR -New when rented
- KM -Replacement of facial prosthesis including new impression/moulage
- KN -Replacement of facial prosthesis using previous master mode
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Modifiers RT and LT
An additional rental rate will be allowed in the same Calendar Month for codes with a rental modifier when both modifiers RT and LT are submitted for the same HCPCS code on separate lines. Modifiers RT and LT may be used to report an item for the right or left side of the body. Use of these modifiers may convey that multiples items are being utilized
References/Resources
About Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Christine Woolstenhulme, CPC, QCC, CMCS, CMRS, is a Certified coder and Medical Biller currently employed with Find-A-Code. Bringing over 30 years of insight, business knowledge, and innovation to the healthcare industry. Establishing a successful Medical Billing Company from 1994 to 2015, during this time, Christine has had the opportunity to learn all aspects of revenue cycle management while working with independent practitioners and in clinic settings. Christine was a VAR for AltaPoint EHR software sales, along with management positions and medical practice consulting. Understanding the complete patient engagement cycle and developing efficient processes to coordinate teams ensuring best practice standards in healthcare. Working with payers on coding and interpreting ACA policies according to state benchmarks and insurance filings and implementing company procedures and policies to coordinate teams and payer benefits.
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