Summary & Overview
HCPCS E1012: Center-Mount Power Elevating Leg Rest/Platform
HCPCS Level II code E1012 designates a center-mount power elevating leg rest/platform supplied as a complete accessory to a power seating system for wheelchairs. This code identifies a specific durable medical equipment item used to improve leg support, positioning, and functional access for power mobility users. Nationally, accurate coding of such accessories affects equipment provision, beneficiary mobility outcomes, and durable medical equipment payment and coverage determinations. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn what the code represents clinically and operationally, which payers are included in the review, and what types of benchmarks and policy context are typically relevant for this category of durable medical equipment. The publication summarizes common billing and coverage themes for power seating accessories, highlights where policy updates or payment rules commonly impact claims, and provides clinical context for why an elevating leg rest/platform may be prescribed. Data not available in the input for payer-specific rates, associated taxonomies, and ICD-10 diagnoses.
Billing Code Overview
HCPCS Level II code E1012 describes a wheelchair accessory: an addition to a power seating system consisting of a center mount power elevating leg rest/platform, furnished as a complete system, any type, each. The service type conveyed by the description is durable medical equipment/accessory provision for power mobility devices. The typical site of service is use with a power wheelchair or power mobility device, commonly supplied in outpatient durable medical equipment settings or during wheelchair seating and mobility evaluations and fittings.
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Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with progressive lower-extremity weakness due to spinal cord injury presents for durable medical equipment (DME) evaluation. The patient uses a power wheelchair for mobility but experiences pressure on the distal thighs and difficulty maintaining foot clearance during transfers and ambulation in the chair. An occupational therapist evaluates seating needs and determines that a center mount power elevating leg rest/platform is required to support, elevate, and position the lower extremities as part of the power seating system. The DME supplier documents the specification, orders the accessory as a complete system, and coordinates delivery and fitting at an outpatient DME clinic or the patient’s home. Billing is submitted using E1012 for the wheelchair accessory addition to the power seating system. Typical workflow includes evaluation by an OT/PT, physician or physiatrist prescription for the accessory, DME supplier verification of compatibility with the existing power wheelchair, custom fitting, patient education, and follow-up for adjustments or repairs.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no other modifier applies and services are billed normally |
22 |