Summary & Overview
HCPCS E1110: Semi-Reclining Wheelchair with Detachable Arms and Elevating Leg Rest
HCPCS Level II code E1110 covers a semi-reclining wheelchair with detachable arms and an elevating leg rest. This durable medical equipment code captures mobility devices designed for patients who need reclining support and leg elevation for comfort or clinical management. Nationally, wheelchair codes like E1110 are important for ensuring access to appropriate mobility aids across home and post-acute care settings, and they influence supplier billing, payer coverage policies, and durable medical equipment utilization trends.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for wheelchair use, the typical sites of service where E1110 is billed, and what this code represents in claims and coverage processes. The publication summarizes payer coverage considerations, common billing modifiers associated with durable medical equipment billing (listed in input), and related operational topics such as documentation expectations and claim adjudication drivers.
This analysis is intended for national audiences involved in medical billing, durable medical equipment supply, clinical care coordination, and payer policy. It highlights benchmarks and policy-related items relevant to E1110, clarifies clinical and billing context, and identifies gaps where Data not available in the input.
Billing Code Overview
HCPCS Level II code E1110 describes a semi-reclining wheelchair with detachable arms and elevating leg rest (desk or full length). This equipment is intended to provide seating and mobility support for patients who require a wheelchair with reclining capability and the option to elevate one or both legs for comfort or clinical need.
Service type: Durable Medical Equipment (wheelchair)
Typical site of service: Home, outpatient clinics, long-term care facilities, and other non-acute care settings where durable medical equipment is used
Clinical & Coding Specifications
Clinical Context
A patient with limited mobility due to advanced osteoarthritis and impaired lower extremity strength presents to an outpatient durable medical equipment (DME) supplier after evaluation by a primary care physician or physical medicine specialist. The clinician documents functional deficits: inability to ambulate safely for household distances, need for seated mobility for energy conservation, and requirement for elevating leg rests to manage lower extremity edema or postoperative venous status. The DME supplier verifies medical necessity, obtains a face-to-face or chart-based order, and coordinates delivery and basic setup of a semi-reclining wheelchair with detachable arms and elevating leg rests billed as E1110. The typical workflow includes clinician assessment and order, DME supplier prior authorization when required by the payer, delivery with patient/caregiver education on safe transfers and braking, and documentation of height/weight, diagnosis, and functional limitations in the medical record.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Unspecified | Rarely used; avoid unless payer requires a generic modifier code. |
22 |