## **What is the HCPCS code E1140 for?**
The HCPCS code E1140 is meant to designate the provision of a standard wheelchair model that has detachable arms (desk length or full length), which make it easier for the beneficiary and/or their caregivers to do side transfers (e.g., from bed to chair). It also comes with detachable footrests, making the wheelchair more flexible, more comfortable, and easier to use.
Since this is a standard wheelchair, it is intended for patients who need basic mobility support but have sufficient upper extremity strength, stamina, and endurance to self-propel. If they don't have sufficient upper-extremity strength to propel themselves, it's important that a caregiver or loved one is available to push the wheelchair for them.
This is often provided to patients with the following problems:
- Those who can't walk anymore
- Those who have severe disabilities that prevent them from walking
- Those who have chronic illnesses that prevent them from walking
- Those who have neurological disorders that significantly impact mobility
## **Documentation requirements for E1140**
As with any HCPCS code, it's important to have sufficient documentation before you decide to file for a claim with this code. Here are some of what you need:
- The full name of the patient/beneficiary
- The full name and credentials of the healthcare professionals handling the patient
- The patient's medical history and any diagnosis to support the medical necessity for this kind of wheelchair/mobility device
- Clinical notes/documentation that the patient can safely use or be assisted with a manual wheelchair; they have a home environment that can accommodate the wheelchair; they require detachable components for transfers and better comfort
- The provider's prescription/order specifying a manual wheelchair with detachable arms and foot rests
## **Billing requirements for E1140**
Besides the documentation requirements above, it's important to take note of or have the following:
- Please note that one wheelchair counts as one unit of service
- Please be familiar with the necessary guidelines from any related insurers set for durable medical equipment (DME)/wheelchair DME procedures
- Indication of the place of service
- Use any necessary modifiers: NU for new equipment purchase, UE for used equipment, or RR if it's a rental, and if the payer allows rental
You need to be familiar with any coding guidelines and policy articles. If you miss any requirement, use the wrong modifier, or pretty much get one thing wrong, expect a claim rejection.
## **Other similar codes**
Here are several related or similar wheelchair HCPCS codes you can use
- **E1110** - Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest
- **E0958** - Manual wheelchair accessory, one-arm drive attachment, each
- **E0983** - Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control
- **E1038** - Transport chair, adult size, patient weight capacity up to and including 300 pounds
- **E1085** - Hemi-wheelchair, fixed full length arms, swing away detachable foot rests
- **E1226** - Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each
- **E2206** - Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each
- **E2211** - Manual wheelchair accessory, pneumatic propulsion tire, any size, each
- **E2310** - Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware
- **E0182** - Pump for alternating pressure pad, for replacement only
- **E0185** - Gel or gel-like pressure pad for mattress, standard mattress length and width
Frequently asked questions
