Summary & Overview
HCPCS E1840: Dynamic Adjustable Shoulder Flexion/Abduction/Rotation Device
HCPCS Level II code E1840 denotes a dynamic adjustable shoulder flexion/abduction/rotation device with soft interface material. This durable medical equipment (DME) code covers devices intended to provide controlled, adjustable mobilization and support for shoulder rehabilitation following injury, surgery, or chronic conditions that limit range of motion. Nationally, accurate coding of such DME items matters for appropriate coverage determinations, claims processing, and ensuring patients receive prescribed rehabilitative support.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the device purpose and typical sites of service, along with what to expect in payer coverage considerations and common billing practices. The publication summarizes benchmark elements relevant to this HCPCS Level II code, highlights clinical context for use in rehabilitation settings, and identifies gaps where data was not available in the input. The content is intended to inform coding staff, DME suppliers, and rehabilitation clinicians about the classification and practical implications of billing under E1840 on a national level.
Billing Code Overview
HCPCS Level II code E1840 describes a dynamic adjustable shoulder flexion / abduction / rotation device that includes soft interface material. This device is used to provide controlled, adjustable motion for the shoulder joint across flexion, abduction, and rotation planes.
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Service type: Durable medical equipment designed for joint mobilization and rehabilitation with adjustable dynamic tension.
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Typical site of service: Outpatient clinics, physical and occupational therapy centers, orthotics and prosthetics providers, and patient home use when prescribed for ongoing rehabilitation.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 56-year-old patient presents to an outpatient orthopedic clinic after surgical repair of a rotator cuff tear. Postoperative physical therapy identifies limited active shoulder flexion, abduction, and internal/external rotation due to pain, capsular tightening, and muscle inhibition. The surgeon orders a dynamic adjustable shoulder flexion/abduction/rotation device to assist gradual passive and active-assisted mobilization while protecting the repair and improving range of motion. The device is fitted in the clinic by an orthotics technician or physical therapist, with documentation of diagnosis, device model E1840, laterality, patient tolerance, and instructions for home use. Typical follow-up visits occur in an outpatient orthopedics or physical therapy setting for adjustments and progress monitoring; the device may be billed once per episode of care when supplied or as durable medical equipment when applicable. Typical site of service: outpatient clinic, physical therapy center, or durable medical equipment supplier location. Common payors include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Standard reporting when no special modifier applies |