## **What is HCPCS code E0971?**
HCPCS code E0971 is a code with a description of: Manual wheelchair accessory, anti-tipping device, each under the service type Durable Medical Equipment category
The manual wheelchair anti-tipping device being referred to in this code is an accessory affixed to the rear of a manual wheelchair to prevent backward tipping. The anti-tipping device is designed to enhance patient safety by preventing a manual wheelchair from tipping backward. This is a common risk when navigating ramps, uneven terrain, or during sudden movements.
The device typically consists of anti-tip bars or small wheels attached to the wheelchair frame per manufacturer guidelines. It is indicated for users with a history of wheelchair tipping, those with balance or postural instability, or individuals needing enhanced confidence during mobility.
## **HCPCS code E0971 documentation requirements**
To support medical necessity and justify the billing for HCPCS code E0971, the DME supplier must have comprehensive documentation on file.
- **Standard Written Order (SWO)**: A signed and dated order from the treating practitioner (physician, PA, NP, etc.) that includes the patient's name, the item being ordered (the anti-tipping device, E0971), and the date of the order.
- **Medical record documentation**: The patient's medical record must contain information demonstrating a clinical need for the device. This usually includes the diagnosis, vertification of the patient's mobility impairment, specifics regarding the patient's condition, and detailed features of the wheelchair currently owned by the patient.
- **Proof of Delivery (POD)**: Documentation signed by the beneficiary (or designee) confirming the delivery of the anti-tipping device, including the date of delivery, a description of the item, and the quantity delivered.
## **HCPCS code E0971 billing requirements**
To prevent the denial of claims, the following guidelines or requirements must be kept in mind:
- The code is described as "each," but suppliers must check the specific payer's (e.g., Medicare DME MACs) policy to confirm if one unit is billed for a single anti-tipping wheel/bar or for the complete set (two units).
- Some of the following modifiers are frequently used with DME codes, like E0971, NU (new equipment) and UE (used equipment).
- For accessories, the item must be considered medically necessary and reasonable for the patient to use with their existing wheelchair. Anti-tipping devices are generally covered if they meet the criteria for safe and effective use of the wheelchair.
## **Other relevant codes**
There are other HCPCS codes related to wheelchair accessories and anti-tip devices:
- **K0108**: Wheelchair component or accessory, not otherwise specified (should not be used for anti-tip devices)
- **E0970**: Manual wheelchair accessory, footplates, except elevating leg rest (related accessory code)
- **E0973**: Wheelchair accessory, adjustable-height, detachable armrest, complete assembly, each (another related accessory)
- **E0978**: Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
- **E0990**: Wheelchair accessory, elevating leg rest, complete assembly, each
- **E0961**: Manual wheelchair accessory, wheel lock brake extension (handle), each
- **E2227**: Manual wheelchair accessory, gear reduction drive wheel, each
- **E2230**: Manual wheelchair accessory, manual standing system
- **E2358**: Power wheelchair accessory, group 34 non-sealed lead acid battery, each
- **E2224**: Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each
- **K0830**: Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Frequently asked questions
