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2025 HCPCS code E1035

Multi-positional patient transfer system, with integrated seat, operated by caregiver, for patients weighing up to 300 lbs.

Refer to HCPCS coding guidelines and specific payer policies for detailed instructions and coverage criteria related to E1035.

Modifiers may apply based on specific circumstances, such as rental versus purchase. Consult modifier guidelines for appropriate use.

Medical necessity must be established by demonstrating the patient's inability to transfer independently due to a medical condition. This may include conditions like paralysis, spinal cord injury, severe arthritis, or neuromuscular disease, among others.The documentation must support that the patient requires the assistance of more than one person for transfers without the lift, and that less costly options are not sufficient.

The caregiver operates the transfer system. They are responsible for safely transferring the patient, ensuring proper positioning, and adjusting the system for recline and leg elevation as needed.

IMPORTANT:For patients weighing over 300 lbs, use E1036.

In simple words: This is a special type of chair that helps caregivers move patients who have difficulty moving themselves. It works for patients weighing up to 300 pounds and helps move them from lying down to sitting up. The chair can also be adjusted for comfort.

This code represents a multi-positional patient transfer system with an integrated seat, operated by a caregiver, designed for patients weighing up to and including 300 pounds.It allows caregivers to transfer patients from a supine position to a seated position and facilitates various recline and leg elevation adjustments. This system aids in turning, lifting, and transferring patients between bed, wheelchair, commode, chair, or shower, and does not involve electric controls.

Example 1: A patient with paraplegia requires assistance transferring from bed to wheelchair. The E1035 system is used by their caregiver to facilitate this transfer., A post-operative patient with limited mobility uses the E1035 system to move from bed to a chair for meals and other activities., An elderly patient with severe arthritis uses this system for transfers to reduce strain on caregivers and ensure safe movement.

Documentation should include the patient's weight, the medical necessity for the device (e.g., inability to transfer independently), and the specific condition requiring a supine transfer.

** Coverage policies for this code may vary between payers. It is important to check with individual payers for specific requirements and limitations.

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

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