Summary & Overview
HCPCS E2365: Power Wheelchair U-1 Sealed Lead Acid Battery
HCPCS Level II code E2365 identifies a U-1 sealed lead acid battery (e.g., gel cell or AGM) supplied individually as an accessory for power wheelchairs. This code matters nationally because batteries are essential to the function and safety of power mobility devices; appropriate coding affects coverage, replacement timing, and durable medical equipment supply chains. Primary payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise explanation of the clinical and equipment context for E2365, typical sites where the item is billed, and which payers commonly cover replacement power wheelchair batteries. The publication reviews billing benchmarks and common payer policy themes (coverage criteria, documentation expectations, and frequency limits) and summarizes relevant coding practice considerations for suppliers and billing professionals. Where specific data are not provided in the input, the text notes that information is not available. The goal is to provide a national-level reference for clinicians, DME suppliers, and revenue staff to understand the role of E2365 in power mobility equipment billing and payer interactions.
Billing Code Overview
HCPCS Level II code E2365 describes a power wheelchair accessory: a U-1 sealed lead acid battery supplied individually, such as a gel cell or absorbed glassmat (AGM) battery. This item is used as a replacement or spare battery for power mobility devices.
Service Type: Durable Medical Equipment (power mobility accessory)
Typical Site of Service: Durable medical equipment suppliers, home use with delivery/installation as needed
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with advanced Parkinson disease and resulting severe gait instability presents for evaluation of durable medical equipment needs. The patient ambulates only short distances with a cane and requires a power wheelchair for community mobility and safety. The seating clinic determines the patient uses a power wheelchair with a sealed lead-acid battery (U-1 size, gel cell/absorbed glass mat). The clinical workflow includes a prescriber (physician, physiatrist, or nurse practitioner) documenting the medical necessity for the power wheelchair and battery replacement, DME supplier verifying the prescribed E2365 accessory fits the patient’s existing base and charger, obtaining prior authorization from the patient’s payer (for example, Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, BUCA, Medicare) if required, delivery of the battery, and brief instruction to the patient/caregiver about safe battery handling and charging. Typical site of service is outpatient durable medical equipment supplier or the patient’s residence when delivered by the supplier. The service type is provision of a power wheelchair accessory replacement battery (E2365) rather than a one-time durable medical equipment asset placement; this code documents each sealed lead-acid U-1 battery dispensed.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier |