Coding for Standing Equipment
Altimate Medical's sit to stand standers are billed as DME (Durable Medical Equipment) to both Public and Private insurance companies and are routinely purchased. These products are designed to maintain function and design characteristics for repeated daily use by the patient for whom it is originally prescribed. These products are not useful in the absence of illness or injury.
In the past, alternative positioning and standing equipment was coded E1399 Miscellaneous. Since the administrative simplification provision HIPAA (Health Insurance Portability and Accountability Act) of 1996 mandated Universal Coding, Altimate Medical applied to CMS for standing frame code verification and was placed in - E0637 (Combination sit to stand system, any size, with seat lift feature, with our without wheels) HCPCS code category. Please check with the payer source to verify what code they are using for our products.
EasyStand Standing Frame Code:
E0637 - Sit to Stand System w/seat lift
Long Description: Combination sit to stand system, any size, including pediatric, with seat lift feature, with or without wheels.
As a supplier, you are aware of the importance of staying abreast of the latest changes in coding and coverage through your payer sources for all DME. Please let us know if you are having challenges or need assistance by calling Nancy Perlich at 877-844-1172. In many states there are supplier associations that may be helpful in dialoguing with payer sources to correct the situation.
FAQ's about HCPC Codes
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HCPCS Code E0637- Sit to Stand Standing Technology
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History and Current Status of HCPCS Coding for Standers
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List of HCPCS Codes for Standing Frames
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