2025 HCPCS code E1036
(Active) Effective Date: N/A Revision Date: N/A Durable Medical Equipment - E0950-E1036 Wheelchair Accessories E0100-E8002 Durable Medical Equipment Feed
Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, for patients weighing over 300 lbs.
Modifiers may be applicable depending on the specific circumstances of the service provided. Refer to current HCPCS modifier guidelines for details.
Medical necessity must be established by demonstrating that the patient's condition prevents them from safely transferring without assistance and that the patient's weight exceeds the capacity of standard transfer equipment. The documentation should support the need for this particular device and its impact on the patient's functional abilities and quality of life.
The caregiver is responsible for operating the transfer system and ensuring patient safety during the transfer process. They must also ascertain the patient's weight capacity and choose the appropriate equipment.
In simple words: This is a special wide seat-like device that helps caregivers safely move very heavy patients (over 300 lbs) from a bed to a chair, wheelchair, or other seated areas.It's not powered by electricity and lets the caregiver adjust the seat position.
This code represents a transfer system designed to assist caregivers in moving patients who are bed-bound. The system includes an extra-wide integrated seat and is manually operated by a caregiver. It accommodates patients weighing greater than 300 pounds and allows for supine transfers and multiple recline and leg elevation positions.
Example 1: A patient with morbid obesity and limited mobility requires assistance transferring from bed to a wheelchair for doctor's appointments. E1036 would be used due to the patient's weight exceeding 300 lbs., Following surgery, a patient weighing over 300 lbs. experiences difficulty moving from the bed to a chair. E1036 is utilized to aid in the transfer and to prevent strain on both the patient and caregiver., A patient with a neuromuscular disorder and weighing over 350 pounds requires assistance for repositioning and transfers between bed, chair, and shower. E1036 would be used to facilitate safe transfers and repositioning.
Documentation should include the patient's weight, the medical necessity for the transfer system (e.g., diagnosis, functional limitations), and any training provided to the caregiver on the safe operation of the equipment.
- Payment Status: Active
- Specialties:Physical Medicine and Rehabilitation, Geriatrics, Home Health Care
- Place of Service:Home, Skilled Nursing Facility, Inpatient Hospital, Nursing Facility, Hospice, etc.