Medicare Reimbursement Guide for Power Wheelchair Drive Control Systems

Drive Control System Terminology

The term interface in the code narrative and definitions describes the mechanism for controlling the movement of a power wheelchair. Examples of interfaces include, but are not limited to, joystick, sip and puff, chin control, head control, etc.

A proportional interface is one in which the direction and amount of movement by the patient controls the direction and speed of the wheelchair. One example of a proportional interface is a standard joystick.

A non-proportional interface is one, which involves a number of switches. Selecting a particular switch determines the direction of the wheelchair, but the speed is pre-programmed. One example of a non-proportional interface is a sip-and-puff mechanism.

The term controller describes the electronics that connect the interface to the motor and gears in the power wheelchair base.

A switch is an electronic device, which turns power to a particular function either "on" or "off". The external component of a switch may be either mechanical or non-mechanical. Mechanical switches involve physical contact in order to be activated. Examples of the external components of mechanical switches include, but are not limited to, toggle, button, ribbon, etc. Examples of the external components of non-mechanical switches include, but are not limited to, proximity, infrared, etc. Some of the codes include multiple switches. In those situations, each functional switch may have its own external component or multiple functional switches may be integrated into a single external switch component or multiple functional switches may be integrated into the wheelchair control interface without having a distinct external switch component.

A stop switch allows for an emergency stop when a wheelchair with a non-proportional interface is operating in the latched mode. (Latched mode is when the wheelchair continues to move without the patient having to continually activate the interface.) This switch is sometimes referred to as a kill switch.

A direction change switch allows the patient to change the direction that is controlled by another separate switch or by a mechanical proportional head control interface. For example, it allows a switch to initiate forward movement one time and backward movement another time.

A function selection switch allows the patient to determine what operation is being controlled by the interface at any particular time. Operations may include, but are not limited to, drive forward, drive backward, tilt forward, recline backward, etc.

HCPCS Coding for Drive Control Systems

E1028 Wheelchair accessory, manual swing away, retractable or removable mounting hardware for joystick, other control interface or positioning accessory ($175.56 to 206.28)

Coding Guideline (E1028)

Code E1028 is used for hardware that allows a cushioned headrest (E0955), lateral trunk or hip supports (E0956, E1025-E1027), or a medial thigh support (E0957) to swing away manually or to be removed. Code E1028 is also used for swing away hardware used with interfaces described by codes E2320 and E2321, swing away or flip-down hardware for head control interfaces E2327- E2330, and swing away hardware for an indicator display box that is related to the multi-motor electronic connection codes E2310 or E2311. Code E1028 is not to be used for swing away hardware used with a sip and puff interface (E2325) because swing away hardware is included in the allowance for that code.

This information is not intended to be, nor should it be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail. This information is subject to change without notice.

© 2004 Invacare Corporation

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Rev. 03/04 JHS

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Invacare manual Hcpcs Coding for Drive Control Systems, Coding Guideline E1028
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E1028 specifications

The Invacare E1028 is a premium power wheelchair designed to enhance mobility and independence for individuals with limited mobility. Boasting a blend of advanced technologies and user-friendly features, the E1028 addresses the diverse needs of users while ensuring comfort and safety.

One of the standout characteristics of the E1028 is its robust build quality. The wheelchair is constructed with durable materials, ensuring longevity and reliability for daily use. Its design also allows for a maximum weight capacity, making it suitable for a wide range of users.

Equipped with a powerful yet efficient motor, the E1028 delivers impressive performance. The wheelchair features a reliable drive system that provides smooth acceleration and deceleration, granting users the ability to navigate both indoor and outdoor environments with ease. Its turning radius is designed for optimal maneuverability in tight spaces, allowing for easy navigation in home settings or busy public areas.

In terms of technology, the Invacare E1028 includes advanced electronic controls that are intuitive and easy to use. Its joystick-controlled interface allows users to easily adjust their direction and speed, contributing to a more personalized driving experience. Additionally, the E1028 features customizable seating options, including adjustable armrests and seat height, ensuring that users can find their ideal position for comfort.

The wheelchair is also designed with safety in mind. It comes equipped with anti-tip wheels, helping to prevent accidents during sudden movements or on inclined surfaces. The inclusion of high-visibility lighting and reflectors ensures that users remain visible during low-light conditions, adding an extra layer of safety while traveling.

Battery life and efficiency are crucial in power wheelchairs, and the E1028 excels in this area. It is fitted with high-capacity batteries that provide extended operating time on a single charge, allowing users to engage in longer outings without the worry of running low on power.

Overall, the Invacare E1028 is a feature-rich power wheelchair that embodies quality, performance, and safety, making it an excellent choice for those seeking a reliable mobility solution. With its combination of advanced technology, comfortable design, and safety features, the E1028 is positioned to significantly improve the quality of life for those with mobility challenges.
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