Table of content for "Adjust elbow flexion dev" (HCPCS E1804)
General information on the “E1804” code
HCPCS Code: E1804
Long Description: Dynamic adjustable elbow flexion only device, includes soft interface material
Short Description: Adjust elbow flexion dev
Original information is taken from E1804 page
Pricing indicators
Pricing Indicator Code 1: 36 – Capped rental DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Type Of Service 2: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20250101
Code Effective Date: 20250101
Action Code: A – Add procedure or modifier code