Question 1

What is HCPCS code E1232?

Accepted Answer

HCPCS code E1232 is "Folding ped wc tilt-in-space". Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system

Question 2

What category is E1232 in?

Accepted Answer

E1232 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E1232?

Accepted Answer

Use E1232 when billing for folding ped wc tilt-in-space. 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 E1232 covered by Medicare?

Accepted Answer

Coverage for E1232 (Folding ped wc tilt-in-space) 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 E1232?

Accepted Answer

Documentation for E1232 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).