Question 1

What is HCPCS code E0167?

Accepted Answer

HCPCS code E0167 is "Commode chair pail or pan". Pail or pan for use with commode chair, replacement only

Question 2

What category is E0167 in?

Accepted Answer

E0167 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0167?

Accepted Answer

Use E0167 when billing for commode chair pail or pan. 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 E0167 covered by Medicare?

Accepted Answer

Coverage for E0167 (Commode chair pail or pan) 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 E0167?

Accepted Answer

Documentation for E0167 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).