Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 HCPCS code E0625

Patient lift for bathroom or toilet, not otherwise classified.

This code is not covered by Medicare as bathroom modifications are generally excluded from coverage. This code represents the equipment itself and should not be used to bill for any necessary structural changes to accommodate the equipment.

Medical necessity is established when the patient cannot perform bathroom transfers without assistance, requires two or more caregivers for these transfers, would otherwise be confined to bed without the lift, and benefits from periodic movement for improvement of their condition.

This lift is utilized when a patient is unable to transfer themselves independently within the bathroom or toilet area. The lift aids caregivers in moving patients to and from the toilet, shower, or other bathroom fixtures. It is deemed medically necessary when two or more caregivers are required for transfers without the lift and when periodic movement is essential for the patient's improvement.

In simple words: A special lift used to help move patients safely in the bathroom or toilet.

This code represents a patient lift specifically designed for use in the bathroom or toilet, not otherwise described by existing HCPCS codes. These devices typically attach to the arm of a patient lift and are used to support and transfer patients within the bathroom or toilet area.

Example 1: A patient with severe arthritis requires assistance for all transfers, including to and from the toilet. A bathroom/toilet patient lift is prescribed to facilitate safe and independent toileting., Following a hip replacement, a patient cannot bear weight on the affected leg and needs a secure method for using the toilet. A bathroom/toilet patient lift is provided to ensure safety and prevent falls., A patient with muscular dystrophy experiences progressive weakness and requires increasing levels of assistance for toileting. A bathroom/toilet patient lift is used to maintain hygiene and minimize strain on caregivers.

Documentation should clearly establish the medical necessity for the lift by demonstrating the patient's inability to perform bathroom transfers independently. It should also specify the number of caregivers required for assistance, the patient's underlying condition, and the benefit derived from periodic movement.

** This code describes a specific type of patient lift distinct from standard patient lifts (e.g., E0621). Although Medicare does not cover the bathroom/toilet patient lift itself, documentation related to its use and the patient's functional limitations can be important for supporting other aspects of care.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.