Summary & Overview
HCPCS E0930: Fracture Frame, Free Standing, Includes Weights
HCPCS Level II code E0930 denotes a free-standing fracture frame supplied with weights, classified as durable medical equipment for orthopedic fracture support. Nationally, this code is used to bill for devices that provide immobilization and traction support in outpatient and ambulatory settings where DME items are dispensed. The code matters because it standardizes billing for a specific class of fracture management equipment and affects coverage determinations, claims processing, and supplier reimbursement.
Key payers referenced in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for device use, typical sites of service, and the billing implications tied to this HCPCS Level II code. The publication outlines common payer coverage considerations, coding nuances, and relevant billing modifiers when available. It also highlights typical documentation and supply scenarios associated with providing a fracture frame with weights.
This summary prepares clinicians, billing professionals, and DME suppliers to understand where E0930 fits within outpatient fracture care, what to expect from major national payers, and which operational and coding topics to review for compliant claims submission.
Billing Code Overview
HCPCS Level II code E0930 describes a fracture frame, free standing, includes weights. This code represents a durable medical equipment item used to immobilize or support a limb or fracture site by means of a standalone frame supplied with weights as part of the device package.
Service type: Durable Medical Equipment (orthopedic fracture support)
Typical site of service: Outpatient durable medical equipment supply, orthotics/prosthetics provider location, or ambulatory clinic where DME items are dispensed
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Clinical & Coding Specifications
Clinical Context
A 45-year-old patient presents to an orthopedic outpatient clinic after sustaining a displaced distal radius fracture following a fall. The orthopedic surgeon determines closed reduction with application of a fracture frame (external fixation device that is free-standing and includes weights) is indicated to maintain alignment while soft tissues recover. The device is supplied by durable medical equipment services and fitted in the clinic or ambulatory surgery center prior to or during the procedure. The workflow typically includes initial evaluation and radiographs, informed consent, closed reduction under local or monitored anesthesia, application of the E0930 fracture frame and weights, post-application radiographs to confirm alignment, patient education on pin-site care and device handling, scheduling of follow-up visits for monitoring and eventual removal in clinic or operating room if needed. Documentation includes device description (Fracture frame, free standing, includes weights), supplier information, date of service, reason for fixation, procedure notes for reduction and device application, and follow-up plan.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no modifier applies and billing requires the default two-digit modifier for the payer. |