HCPCS Code E1035: Multi-positional Patient Transfer System, with Integrated Seat (≤ 300 lbs)

E1035 is a caregiver-operated, non-electric transfer system that allows supine-to-chair positioning with recline and leg elevation functions. This design provides a smooth, ergonomic lift function for patients requiring multiple positions during transfer. By contrast, HCPCS E0630 describes a hydraulic or mechanical patient lift used primarily for simple bed-to-chair transfers and does not offer multi-positional capability or an integrated seat lift mechanism.

Yes. Many payers, including Medicare and state Medicaid programs, require a Standard Written Order (SWO) or, if applicable, a Written Order Prior to Delivery (WOPD) that specifies the base item and any separately billed accessories (such as slings or positioning components). Claims submitted without the required documentation are typically denied. Providers should confirm prior authorization requirements with the payer before delivery, just as they would for other DME items like oxygen equipment requiring maintenance.

No. When E1035 is deemed medically necessary and covered, payment for other mobility assistive devices—such as canes, walkers, manual wheelchairs, or transfer chairs—will be discontinued. This ensures that coverage is not duplicated for multiple mobility solutions and that the patient’s needs are met with the appropriate integrated seat lift mechanism or multi-positional transfer solution prescribed by the ordering care giver or clinician.