HCPCS Code Details - E0197

HCPCS Level II Code
Durable Medical Equipment (DME)
HCPCS Code E0197
Description

Long description:
Air pressure pad for mattress, standard mattress length and width

Short description:
Air pressure pad for mattres

HCPCS Modifier1
HCPCS Pricing indicator 36 - Capped rental DME (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code D1E - Other DME
HCPCS Action code P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)
Type of service A - Used durable medical equipment (DME)
Effective date Effective Jul 01, 2016
Date added Added Jan 01, 1991
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS E0196 · Gel pressure mattress

  • HCPCS E0198 · Water pressure pad for mattress, standard mattress length and width


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”