How To Use HCPCS Code A0394

HCPCS code A0394 describes a specialized service for disposable supplies used in intravenous (IV) drug therapy for patients with Amyotrophic Lateral Sclerosis (ALS). This code is not payable by Medicare and has no maintenance actions. It was added to the Healthcare Common Procedure Coding System on January 01, 1995, with an effective date of January 01, 2014. HCPCS code A0394 is not separately priced by Part B and is typically bundled or not covered by Medicare.

1. What is HCPCS A0394?

HCPCS code A0394 is used to identify the specific disposable supplies required for intravenous drug therapy in patients with ALS. ALS, also known as Lou Gehrig’s disease, is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord. IV drug therapy is often used to manage symptoms and slow down the progression of the disease.

2. Official Description

The official description of HCPCS code A0394 is “ALS specialized service disposable supplies; IV drug therapy.” The short description is “ALS IV drug therapy supplies.”

3. Procedure

1. Ensure the patient’s ALS diagnosis is documented in the medical record.
2. Determine the specific disposable supplies required for the IV drug therapy.
3. Administer the IV drug therapy according to the prescribed treatment plan.
4. Document the administration of the IV drug therapy and the supplies used.

4. When to use HCPCS code A0394

HCPCS code A0394 should be used when providing IV drug therapy to patients with ALS. It is important to ensure that the patient meets the criteria for ALS diagnosis and that the therapy is medically necessary for their condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A0394, healthcare providers should ensure that the following documentation is included:

• Medical record documentation supporting the ALS diagnosis
• Documentation of the specific disposable supplies used for the IV drug therapy
• Documentation of the administration of the IV drug therapy

Providers should follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A0394 was added to the Healthcare Common Procedure Coding System on January 01, 1995. It has an effective date of January 01, 2014. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code A0394 is not payable by Medicare. It has a pricing indicator code of 00, which means it is not separately priced by Part B. The multiple pricing indicator code is 9, indicating that it is not applicable as HCPCS is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code A0394 should be billed:

1. A patient with ALS receives IV drug therapy using the specific disposable supplies identified by HCPCS code A0394.
2. A healthcare provider administers IV drug therapy to a patient with ALS, documenting the use of the supplies described by HCPCS code A0394.
3. A patient with ALS undergoes IV drug therapy, and the medical record includes documentation supporting the ALS diagnosis and the specific supplies used.
4. A healthcare facility provides IV drug therapy to multiple patients with ALS, and the claims submitted include HCPCS code A0394 for the disposable supplies used.
5. A physician prescribes IV drug therapy for a patient with ALS, and the subsequent administration of the therapy includes the use of the supplies described by HCPCS code A0394.