Stealth Products: HCPCS Codes

MEDICARE "E" CODES

SUGGESTIONS FOR CODING OF STEALTH PRODUCTS

We have researched the latest coding schemes and have developed the following information based on our interpretation of the data. As this is totally new to our industry, we recommend that you solicit the input of your own coding persons before proceeding.

Also download a full PDF document here;

HEADRESTS

Products covered in this section:

The above headrests (Fixed Mount with Pad) are covered under code E0955

Products covered in this section:

System Compnents:

  1. CP150/CP250 Pad - SLP = $142 - E0955
  2. HMO475 Removable Attaching Hardware - SLP = $150 - E1028

System Compnents:

  1. 300 Combo Adjustable Pad - SLP = $275- E0955
  2. HMO475 Removable Attaching Hardware - SLP = $150 - E1028

The above headrests are covered under codes E0955 and E1028


LATERAL SWINGAWAY SYSTEMS for ABOVE HEADRESTS

Products covered in this section:

When adding swing away lateral devices of any type - i.e. lateral facial pads or switch site hardware - use code E1028. The pads are covered under code E0956.

Note: When utilizing more than one unit under this code on the same day of service, there is a procedure outlined in the Wheelchair Options and Accessory, Region C DMEPOS Supplier Manual (winter 2003) section 27.11 and 27.12. Please review this for proper billing instructions.

SWINGAWAY JOYSTICK or DISPLAY MOUNTS

Products covered in this section:

The above swing away display or joystick mounts are covered under code E1028. Reimbursement for this code is *$206.54

HEAD and NECK POSITIONING SYSTEM

Products covered in this section:

System Components:

  1. HMS-450 Removable Attaching Hardware - SLP = $195 - E1028
  2. Occipital Pad - SLP = $60 - EO955 (With Fixed Mount HArdware)
  3. Sub Occipital - SLP = $60 - K0108
  4. SU950 Adjustable Channel Assembly - SLP = $195 K0108

The above products are covered under codes E1028, E0955 and K0108

NECK SUPPORT and POSITIONING SYSTEM

Products covered in this section:

System Components:

  1. HMS450 - SLP = $195 -E1028
  2. Sub Occipital = $60 - K0108 (Possibly E0955)
  3. SU950 Adjustable Channel Assembly - SLP = $195 - K0108
  4. SU950-O Stem and Ring Assembly - SLP = $110 - K0108

LATERALS

Products covered under this section:

The above products are covered under code E0956 and E1028.

Note: When utilizing more than one unit under this code on the same day of service, there is a procedure outlined in the Wheelchair Options and Accessory, Region C DMEPOS Supplier Manual (winter 2003) section 27.11 and 27.12. Please review this for proper billing instructions.

FLIP DOWN, REMOVABLE HARDWARE

Products covered under this section:

Covered under E1028, reimbursed at *$206.54

SIP & PUFF (BREATH TUBE KIT)

Products covered under this section:

Covered under E2326, reimbursed at *$319.60

*Amounts indicated are ceiling amounts. Please check currency coverage specific to your location.

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