Summary & Overview
HCPCS E1035: Multi-positional Patient Transfer System with Integrated Seat
HCPCS Level II code E1035 describes a caregiver-operated, multi-positional patient transfer system with an integrated seat and a patient weight capacity up to and including 300 lbs. As a category of durable medical equipment (DME), this device supports mobility, safe transfers, and caregiver ergonomics in home health, skilled nursing, and residential care settings. Nationally, accurate coding of DME items like E1035 affects beneficiary access, claim adjudication, and DME supply chain management.
Major payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical purpose and service settings, typical payer coverage considerations, and the common billing modifiers associated with DME transactions. The publication will also summarize benchmarking context and policy-relevant issues that influence DME utilization and reimbursement nationally.
This resource helps clinicians, billing staff, and policy stakeholders understand what E1035 represents, where it is used, and which payers commonly adjudicate claims for this equipment. Data not available in the input includes specific payer coverage policies, utilization rates, associated taxonomies, and ICD-10 diagnosis pairings.
Billing Code Overview
HCPCS Level II code E1035 describes a multi-positional patient transfer system with integrated seat, designed to be operated by a caregiver and supporting a patient weight capacity up to and including 300 lbs. This durable medical equipment item facilitates safe transfers and repositioning of patients in settings where mobility assistance is required.
Service Type: Durable Medical Equipment (Patient Transfer System)
Typical Site of Service: Home health, long-term care facilities, skilled nursing facilities, and other outpatient or residential care settings where caregiver-operated transfers are needed
Clinical & Coding Specifications
Clinical Context
A multi-positional patient transfer system with integrated seat, E1035, is used in inpatient and outpatient settings to transfer a patient who requires caregiver assistance for safe movement between bed, chair, commode or examination table. Typical scenario: a 72-year-old patient with progressive Parkinson disease and decreased transfers (ICD-10: G20) admitted for mobility decline requires frequent safe transfers for hygiene and therapy. A trained caregiver or physical therapist positions the integrated-seat transfer system behind the patient, secures the seat and attendant restraint if applicable, adjusts the unit into the required position (sitting, semi-reclined, lateral pivot), and performs a caregiver-operated lift or slide transfer. The device’s 300 lb capacity supports most adult patients. Documentation should include diagnosis necessitating transfer assistance, functional mobility assessment, device description (E1035), weight capacity confirmation, caregiver operation record, any adjustments or modifications, date of service, and site of service (home, skilled nursing facility, hospital outpatient, or inpatient bedside). Common clinical workflow elements: pre-transfer safety assessment, explanation to patient and family, device setup and confirmation of safe weight limits, transfer execution with two-person assist if required, post-transfer status and any skin integrity or pain observations, and device cleaning/storage notes.
Coding Specifications
| Modifier | Description | When to Use |
|---|