Table of content for "Foam filled caster tire" (HCPCS E2387)
General information on the “E2387” code
HCPCS Code: E2387
Long Description: Power wheelchair accessory, foam filled caster tire, any size, replacement only, each
Short Description: Foam filled caster tire
Original information is taken from E2387 page
Pricing indicators
Pricing Indicator Code 1: 32 – Inexpensive & routinely purchased DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Processing Note Number: 0125
Berenson-Eggers Type of Service (BETOS): D1D – Wheelchairs
Type Of Service 1: A – Used durable medical equipment (DME)
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Type Of Service 3: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20070101
Code Effective Date: 20070101
Action Code: N – No maintenance for this code