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    v1.0.31
    OpenPayerBilling CodesDurable Medical EquipmentHCPCS hcpcs-level-ii-e0636-multipositional-patient-support-system-integrated-lift
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    HCPCS Level II E0636: Multipositional Patient Support System with Integrated Lift

    HCPCS Level II code E0636 describes a multipositional patient support system with an integrated lift and patient-accessible controls, used to assist patient transfers and positioning; typical service type is durable medical equipment for mobility and transfer assistance, commonly provided in the home or other outpatient/home care settings where a powered, multi-position support surface with lift capability is needed.

    For related coverage guidance, see recent payer policy updates: Sleep Position Trainer, Hospital Beds Corporate Medical Policy, Continuous Passive Motion Devices with Remote Monitoring or Adaptive Capabilities.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adult with limited mobility due to advanced neuromuscular disease, severe osteoarthritis, recent major lower-extremity orthopedic surgery, or progressive frailty resulting in difficulty repositioning or transferring safely. The patient has been assessed by a home health nurse or physical therapist and requires a durable medical equipment solution that supports multiple patient positions (supine, Fowler, lateral) and includes an integrated mechanical lift with patient-accessible controls to permit some independent repositioning or facilitate caregiver-assisted transfers.

    Clinical workflow: On discharge planning from an inpatient stay or during a home health evaluation, the clinician documents functional deficits, fall risk, and need for safe transfer/repositioning equipment. An order for a multipositional patient support system with integrated lift (E0636) is written, including clinical justification, goals of use, and expected benefits (pressure redistribution, safer transfers, caregiver injury reduction). DME supplier assesses home environment, confirms dimensions and power/clearance requirements, delivers and sets up the device, provides patient and caregiver training on the integrated lift and patient-accessible controls, and documents training and device function for the medical record and billing documentation. Follow-up visits by home health clinicians or durable medical equipment technicians monitor fit, function, and clinical outcomes such as reduced falls or improved skin integrity.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    97161Physical therapy evaluation, low complexityPerformed by a physical therapist to document functional status and justify E0636 prior to rental or purchase
    97530Therapeutic activities, direct (one-on-one)Used during training sessions where therapist instructs patient/caregiver in transfers and device operation
    99500Home visit for collection of specimens (example home health code)Represents home visit logistics; used by clinicians documenting in-home assessments related to device setup
    99406Smoking and tobacco cessation counseling (example preventive code)Not directly related but sometimes billed during comprehensive home health visits that include device delivery
    96161Developmental testing; extended assessment (example)Used in specific complex cases where cognitive assessment is needed to ensure safe use of patient-accessible controls

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207Q00000X
    333600000X
    367A00000X
    2080P0208X
    111NN1001X
    171000000X
    225CX0006X
    282E00000X

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 3

    10 rows

    PolicyPayerEffective Date
    Sleep Position Trainerregence2027-01-01
    Hospital Beds Corporate Medical Policybcbsvermont2027-01-01
    Continuous Passive Motion Devices with Remote Monitoring or Adaptive CapabilitiesBlue Cross Blue Shield - Rhode Island2026-12-01
    Bone Growth StimulatorsMass General Brigham Health Plan2026-12-01
    Prior Authorization for Durable Medical Equipment (DME)Blue Cross Blue Shield - Rhode Island2026-12-01
    Patient Liftsuniverahealthcare2026-11-16
    Tonic Motor Activation (TOMAC) for Restless Legs Syndromeregence2026-11-01
    Functional Neuromuscular Electrical Stimulationregence2026-11-01
    Noninvasive Ventilators in the Home Settingregence2026-11-01
    Medical Car SeatsCareSource2026-11-01

    Related Codes

    HCPCS-E0100-CANE-DURABLE-MEDICAL-EQUIPMENT-AMBULATION

    HCPCS E0100: Cane, Adjustable or Fixed, With Tip

    HCPCS-E0105-CANE-QUAD-THREE-PRONG-MOBILITY-AID

    HCPCS Level II E0105: Cane, Quad or Three-Prong, Includes Tips

    HCPCS-E0110-FOREARM-CRUTCHES-PAIR-DME-MOBILITY

    HCPCS Level II E0110: Forearm Crutches, Pair, Complete with Tips and Handgrips

    HCPCS-E0111-CRUTCH-FOREARM-DURABLE-MEDICAL-EQUIPMENT

    HCPCS Level II E0111: Crutch, Forearm, With Tip and Handgrips

    HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

    HCPCS Level II E0112: Underarm Wooden Crutches, Pair

    HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

    HCPCS Level II E0113: Crutch Underarm, Wood, Adjustable or Fixed

    HCPCS-E0114-UNDERARM-CRUTCHES-PAIR-ADJUSTABLE-FIXED

    HCPCS Level II E0114: Underarm (Axillary) Crutches, Adjustable or Fixed, Pair

    HCPCS-E0116-UNDERARM-CRUTCH-NON-WOOD-ADJUSTABLE-FIXED

    HCPCS E0116: Underarm Crutch, Non-Wood, Adjustable/Fixed with Pad

    HCPCS-E0117-ARTICULATING-SPRING-ASSISTED-UNDERARM-CRUTCH

    HCPCS Level II E0117: Crutch, Underarm, Articulating, Spring-Assisted

    HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

    HCPCS E0118: Crutch Substitute, Lower Leg Platform

    Showing 1–10 of 670

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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