HCPCS Code E0156: Seat Attachment, Walker

Learn about the HCPCS code E0156 for "Seat attachment, walker" through this short guide.

## **What is the HCPCS code for E0156?** The HCPCS code E0156 is an HCPCS code under the category Durable Medical Equipment (DME). This code, in particular, is meant to designate the provision of a seat attachment for a walker. Please note that this is an accessory, so please don't confuse this with a code that provides a walker with a seat attachment. Please do not confuse this with a wheelchair accessory either, because a walker isn't a wheelchair. This seat attachment will be attached to the walker's frame. This will serve as a convenient resting feature for the patient/beneficiary who uses the walker. Just in case they feel tired, they can simply sit on it to take a break from walking. This is often provided to patients who are already using walkers who also have the following indications: shortness of breath due to problems like chronic obstructive pulmonary disease (COPD) and arthritis, or those prone to fatigue or have very limited stamina.

## **Documentation requirements for E0156** Every HCPCS code requires sufficient documentation that aligns with your insurer's correct coding guidelines and requirements, including related policy articles and local coverage determinations. To assist providers such as yourself a little bit, here are examples of what you need: - The full name of the patient/beneficiary - The full names and credentials of the healthcare providers who handled/are handling the patient/beneficiary - The relevant information related to your patient's medical history and current condition to justify the medical necessity for a seat attachment - The relevant information of the seat attachment (e.g., material used to make it, manufacturer/supplier, etc.) - Physician's order/prescription for it

## **Billing requirements for E0156** Besides the documentation requirements above, please make sure to take note of or have the following: - 1 seat attachment = 1 unit of service - The supplier must be Medicare/DMEPOS-certified - Under Medicare guidelines, accessories for walkers, including seat attachments (E0156), baskets (E0154), and wheels (E0155), are not separately billable or covered items. They are considered non-covered accessories or are included in the allowance for the base walker code (E0130, E0135, E0141, etc). - This can't be provided without a sufficiently supported medical necessity - Relevant ICD codes

## **Other similar codes** - **E1035** - Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs - **E0370** - Air pressure elevator for heel - **E0621** - Sling or seat, patient lift, canvas or nylon - **E0150** - Combination wheeled walker with seat and transport chair, folding, adjustable or fixed height - **E0163** - Commode chair, mobile or stationary, with fixed arms - **E0971** - Manual wheelchair accessory, anti-tipping device, each - **E2231** - Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware There are so many other HCPCS codes for similar devices/service components (e.g., walking aids, manual swings, detachable armrests, and so much more. Please note that some of these need to accompany certain CPT codes.

Frequently asked questions

Nothing. They and their providers should ensure their walkers are sturdy.

It can take up to 15 minutes.

Yes. If this isn't installed correctly, the seat might become unstable, which puts the patient at risk of falling when they sit on it. Incorrect installation may also damage the walker's frame.